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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.sjgov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 610 F-cA I ck A:C 1 El•-t-Ot v 1 r n Date: t/. 2L/ lc <br />Address: i nal WCA g-q00 t• IttreA <br />City: cz.A-ourvon Zip Code: CtcLoc--- <br />Owner/Operator: ,.,1‘.-A WI ccay ti-6 Telephone: )1.-A.._,k A q2._. <br />Program Element: \ co(y-5 Program Record: ,,,z 0 0Th 22_4-4_ Inspection Type: coi\WItrAtICT\ <br />SB180 Posted 0 Yes CI Permit Posted []Yes 0 I Re-Inspection on or After: <br />OBSERVATI AND CORRELIVE ACTIONS <br />CD 11.0\i I 61-12- 0 -r)c-IC) 1-CIII01- COO -f-rJc al\ ,orn r e e_S <br />wiTh in 26 0 a•f D-c--- <br />* a los isc\a, p,02-vn it 0.--1-vr <br />--ee 0 .k- (0 --2.0 vs yc,Aio . <br />N 01 -' : Li u4Ace- 1, I ck-;- Chun Qt_cl tlz-o-A '' C 14 0 Cl I .:-,_ tz, <br />‘‘ ‘zi(00001-. jr\ 3- lc 11-Wv 19, Ike_ <br />„ Item/Location Temperature Item Location _ Temperatute <br />._,okr. -i-c,Le, -2;2-b9 <br />1 (1r -12-wz., &it * <br />Food Safety Certification Facility Hot Water __. Temperature <br /> <br /> _. , <br /> <br />1 c o ..F <br />Warewashing <br />Heat: me: C11•4 itiS°. 11-- L <br />Hand Sink: Chlorine: ppm °F <br />) . Date: <br />/—/ ! c <br />Warewashing Sink: i () ..F <br />I <br />Quat. Amm.: ppm Other: °F <br />eived By / Title: <br />3pecialist: ( ii.oi/n/triet-C2A----- Phone: RCA ilco c„) _ 34 b <br />in: eo <br />-24 (2nd pg) 413113 <br /> FOOD PROGRAM OIR CONTINUATION <br />Time Out: . LI <br /> 0