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SAN JOAQUIN COUN i Y <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: lattv;;A Vic) r `..,1,4e 5 Dat--...-If <br />Address: kot.40 \Ai._ izetive.im, Ls.% City: i el . Zip Code: (lc zq p <br />Owner/Operator:T <br /> Telephone: VA 4Vbike <br />Program Element: 1 i .. I. <br /> <br />ti. ,5Nli Program Record: f*f_....e, , Al 74-775: Inspection Type: <br />SB180 Posted Yes el Permit Posted Yes AG (....) Re-Inspection on or After: <br />*OBSERVATIONS AND CORRECTIVE ACTIONS <br />in c/.C-1 <br />Mov\X"e". c.04 vvr.l.i.cAcq,184.' 6 a,veirs e <br />It. <br />it \iee.A.#' CAtilicIAIM cle.r.A., Ali* e.,.."A-c-vvv, 0.r Gi VIA k)r-t 4- s;d4-e <br />Veef ik, tmetW 4-74,..; qr.1 1114 vt.ii- Aral. SA4-• e, 0 .4'1 1 <br />14 GT5 t%0 , <br />r <br /> <br />'6 CliqThlt 04 tti.tc--L ‘tilic, <br /> <br />k v"Avi• 4-Aw, eit.lcavo .,1-,..A. Q., - -sç p k, <br />viitipim) c C.n 4. <br />k <br />* (*.... ICO t561/to Valwv"" i i"' 41- ZOZG/ OVV-c_ Peel km 134kA4 ppka_ <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: .F Quat. Amm.: ppm Other: °F <br />Received By / Title: — <br />EH Specialist: Phone: upti - ‘ktott _ .71.17.174._ <br />Time Out: Time in:Page <br />t <br />of <br />i <br />END 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION