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SAN JOAQUIN COU f <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: or j,i _i_a 1 /7,24 m _e/vi• ,......_e.) It zip- \//j , 70 Date: _d 1-1 7 Address: -4, 0 / City: ; eruo 01 ay cici, ino4,,,,3 it,Zip Code: Of 5a5 (71r <br />Owner/Operator: <br />/ '6.ett(:. KLOC.- 1 ti 1 e_ Lat20. bre 2- Telephone: afteit (70.5_//g3 <br />Program Element: / 6 3,5 Program Record: p iq D a ), ,..7 i Inspection Type(,444 4-) iLte, <br />SB180 Posted )(Yes No Permit Posted )(Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />(:) get rid s ; -tic cK:s ho 71-- u..)a -le r-e-fc-__-(1.-14 / 7 - 7_, c 2 c 1 • gtioa.4 /- 8-e ..) <br />i frae_e_k <br />114/04 k j a-ie r 4s no-4- ho-i- e n evf.j A s ha u Le / ) 0 ° F <br />or hi ke r- 4 4- ei it_ ---ii i---rw..s • <br />,9) W6 cti s a i-Le7t ei2ts Li k-ij v-er? -/--s- 1 et c_k ...cc.r,04. frz_5 A) u*-1' ci- <br />ad" ail_ i9 's • <br />9 7 124_ -i9..e r-rrz 0 n-z444)-- h_e• 1- au ct-t Co, ./7 Lt, Pro a•-7 'at b....) <br />IiaizAA - <br />3) 771-e_ 2 deo,- ,-.. 0-0 o Ce 1--- *:,s 12 , 0 -A- ap LS -e ii Alf p e , <br />6/'? a. 1- L-t° 411° f e ie- 1,e,14/-ev-- a---I-- a u <br />0,1< .4-1f Z,_.Stit 7/e rri-Lf V- /? <br />Item/Location Temperature Item I Location Temperature <br />,Z,c14:491-- pee Licif r <br />e-ivi 1 ci4 ct ci 1 b8 F <br />eki'c-ict / 6 hr-e -e ate cl _ROO <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: jc? 06a Li etipt 0 eLl 2,4.11€ pand Sink: _ .F Chlorine: ppm Heat: . <br />Exp. Date: 9 _,/ g . 1 y e0 Warewashing Sink: / 0.5 . Duet. Amm.: ppm Other: . <br />Received By / Title: <br />(D4 (.- <br />EH Specialist: Phone: q53 _A? g/7 <br />Time in: /Time Out: , 05 <br />03s <br />Pagel o <br />END 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION