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SAN JOAQUIN COU. <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www .siqov .orolehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility:' --\- C^c21-,-Q/`-k_i " - ‹S \ A 3q k--, Date: ko- 23 _i 8 <br />Address: (,)) 1.-VN Ca-,\- <br />_./ City: -50,,,,, Zip Code: 9 55 26 <br />Owner/Operator: c:7‘ jy• €-N../ d_r_sc Telephone: <br />Program Element: k03 S Program Record: cs....( 0 50 2_ Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />dt•-st,-.44 'PI S1J -\---^‹.- 13Le.-41- <br />0 \C ----Icc) (2-0-f\r---.-\4- --(2-N- --?-0 t <br />Item/Location Temperature Item / Location Temperature <br />2_ \/•4?.- <br />LO---- <br />‘-'‘ — <br />\ e ck-v0 --e( "e--02p \ .ic <br />\ fp__(-:\ 1-,7) \ -7 <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name:Hand <br />e Cd\ .0\ INA Sink: _ o F Chlorine: PPm Heat: 0 <br />Exp. Date:g S' ink: Quat. Amm.: ppm Other: 0 _Applftvirk--1. 0 <br />( 'QC) CO.-0141 -32 <br />Received By / Title-i- oh. <br />EH Specialist: <br />mir-.00-....407-4i._ dee, <br />-Phone: m 10 B ,.._03 so <br />4A11, • - <br />Time in: ..,_) <br />Time Out: Lol t oonm Page I / <br />A <br />END 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION