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SAN JOAQUIN COUN" <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 1_44,0;74..r_cs Cockl-gt.417Sdlt- VCS...?...1,—,6 Date: <br />Address: s'• ("0„41-0,-i-ifiL ‘ft-, City: SiticAiees.7 7so Zip Code: <br />Owner/Operator: itl-e,e,19 maz-6;14 j Telephone: <br />Program Element: ‘Lls.--- /Program Record: 5-72 i v.) / Inspection Type: pe.4.64/701"-e <br />SB180 Posted es No Permit Posted re, No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />1%.714.4.1"-- as-•,..,, ,/-74:- /0.5(2-1-1--vr--k-- —fr— c2.1444.:41e.e:‘je ,, <br />cricrl-4,42_- 4 <br />-74...._ e., .4 eme- .4-$4.6-- aotor .siszsets ao iteriz- /7.4-e <br />044 <br />,..4 <br />0 <br />)- <br />-9 <br />_ <br />1 /-1 ikei- dirfi47 <br />e-rec <br />%,,/ <br />le <br />ice. slut-a kre 40...„4 --/X kv ,•-€ a 14...-A- <br />1.:1 cirs <br />l'ete-al..Prafelx e.....kr4c-nize, u-- no4-- etv-a4141/444... C —C.rur-01 <br />--------°"( -4)PLY 4° 1141 FJ21-- 67be-44-1 <br />eitg -A. -- <br />Item/Location Temperature Item / Location LTemperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: hee°40-ce Hand Sink: 9?Fo Chlorine: ppm Heat: . <br />Exp. Date: Warewashing Sin : / 2,0 . Quat. Amm.: PPm Other: . <br />Received By! Title: / <br />/1 <br />EH Specialist: Phone: <br />_ <br />Time in: IA. Is-1r 4, Time Out: Page/ of / <br />END 16-24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION