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SAN JOAQUIN COUI <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjciov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: b S9 \Cr Date: -a. _ ^04_1 7 CO \r\ (,..-C2-1 ‘./1 5 `-'I <br />C---\-- _.../ city r\c,,,fa‘rie.„94,40 Zip Code: q Address: (6 z \ <br />-1- Vv\j 5 <br />Owner/Operator: skce nv........\ ,v. , , <br />jr--r-j <br />Telephone:9 ko •21/- 38, E-1( 0 Program Element: s okobor-Zrogrhm Record:- <br /> <br />Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />smiui OCTIONS <br />IN.3c::, 0 sL 3 <br />\ <br />.3:7r7 3-9.4--4- -J -k-A--,\--z <br />CAL --kcz -e-\- c--„N- Q-c't "4- ery---ciz -k-Le._ e.p-e..._4-..---\.- --r--,...s— <br />d 4 e---\‘ <br />0,..,,Jc.,,,z <br />CA..1-c4N Q ¼A c,,,,,A.- e <br />Item/Location Temperature ern /Location Temperature <br />_Ip k C._ • f-s--60.% -71.-) 34- F <br />'7---))-2 \— <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: ..iet_e_l. v....Q.4...N c.. k ( Hand Sink:k :_---.2) F Chlorine: ppm Heat: F <br />°F Exp. Date: r-V <br />k -- <br />Warewashing Sink: . Q u. PPm Other: <br />Received By / Title: , _..------- <br />EH Specialist: <br />IP or • ' (.31"--..r-Ailov"-'7,._ <br />Phone. 1/4,1(13.... 0.3.-- <br />Time in: ‘ . 0 Time Out: k t.,b-_---i -I. 011P\ Paget o <br />EHD 16-24 (2^d pg) 4/3/13 <br />FOOD PROGRAM OIR CONTINUATION <br />5 4o-zk?' <br />fr-410 YOZ