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Time in: <br />Received By / Titl <br />Time Out: I 0 <br />EH Specialist: <br />I q-za <br /> pia r,'(21 K. . <br />Phone: 6 5 ..... <br />Page of <br />SAN JOAQUIN COUN'i . <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orgiehd <br />Lftto <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: A 0 +o ' *-f-os 1-ct_ A4 0 r vi c-Ect ' Date: i i /z ilzois- <br />Address: J 3 3:50 PO ''t [soil City: .5 1--cock_t_.0.A Zip Code: <br />Owner/Operator: Telephone: 179 / 1.1.41.c <br />Program Element: Irospection Type: IhOo Prograrri: 0 -14 e‹.... C oEDotimp <br />4 (C 1 A SB180 Posted D Yes I' Permit Posted [:Yes ill Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />0 kits klo <br />erkie_q___ A i et_q_u_ et L <br />re <*ert 44\441._ rCie o-Piy P` TA <br />b-t <br />Food Safety Certification _ Facility Hot Water Temperature <br />Chlorine: <br />Warewashing <br />°F <br />°F <br />Hand Sink: °F PPm Heat: <br />arewashing Sink: °F Quat. Amm.: PPm Other: <br />Name: <br />Exp. Date: <br />EHD 16-24 (2^, pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION