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SAN JOAQUIN COUNTY <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 />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Date: e:..)2 _70 ../.1 Name of Facility: pi He_ -44_14. (.1„46-i <br />Address: <br />-02 c 5 5 City: ,,, r Zip Code: A <br />i 5 - k 3 z• Owner/Operator: asie,44z4 -1 ; .., / Telephone7:?6e3 8 <br />Program Element: 1/40- Program Record: e;1 ,)--• /9, ‹) 7.) h. Inspection Tyr * <br />/41-44C111.. <br />SB180Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />4770d tz-at,n4W/,-- tot_ 4 ii.a. / 1 <br />/ . - .,..- '., <br />0, "4& 110 94 111:-... ..1 Al ti _I/ .i. A .1. _./ <br />l r i it (61 , il , Coo e....e2.11-1 6,,K i in cyt. • / 12.4- /143Yri C <br /> 4o(k ). c_,9 fr ecl-el tA4 S t 1-<,_ (01.14rel k-4s- keg) ,p q ,I At 41 ,f _ <br />I Lfy i el . <br />2 k s i „,, K --yval lot,ottg . ri 0 de ., uo lk-ffziAit 0t,.5 <br />, <br />, e.ri,“•.‘„.1 iv. <br />s i k • <br />A] 0 t---tovd.ri( V ( - c"--eal )(5),1_ <br />c o< ft? sti _e _ 7,‘2/ , 15-we r- liq di v , '4/, I ytiA,frevt"-rpt- i„-,( <br />Item/Location Temperature Item I Location Temperature <br /> ,2- ThloK 13e1 Air 'oei <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: 1-zeinia_ eanty.e...y.44 Hand Sink: <br /> <br />oF Chlorine: c ppm Heat: °F <br />Exp. Date: To liz:7 <br />Warewashing Sink: .F i q PPm Quat. Amm.: Other: °F <br />Received By / Title: r / <br />/ 0 <br />EH Specialist: 1 . ' f4-et <br />Phone: A."1 e c3 <br />Time in: / Time Out: Page of <br />EHD 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION