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SAN JOAQUIN COUO, <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjqov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Akio u 0,.. 4ANR, *- )1L-7)--b. 1 ‘.3'.- <br />Date: if zA z.,,,/i ? <br />Address: -ç( 1.. c 2 <br />cl * iletirte 400/--'• <br />City: 54c t., r...47.1„. Zip Code: 1-11--zot, <br />Owner/Operator: AA TA Aikkcac Telephone: <br />Program Element: 1(0 1, Program Record: M.0 -a)..7;00 Inspection Type: r <br />f...1., / <br />SB180 Posted Yes 0 Permit Posted Yes Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONSL <br />1., 2% ‘ \N- v3 47,,c,X\1.3 VOtmic...- 4.1z\k i,V‘Nsar..41t62, C4ACA-i& <br />f InkA 't;i:)e, owe. mz,cts A t.S OA 4Abirc- \wt4...notc-s qltArty• <br />it VAeA, coAN-mkk—k (A5 0,04-c Prir V\AVNed 9 I. . sb Vbt tccio ,4 14 c.. 1 p6 f i ,. riitir , 5/S10() pOS4a. igie- rid ii <br />ce5s. c,.. <br />-- 64iey. Ciovbio -Aceg. ifN.c.4-- owkon 1-641* re-4r c de.- le-ear <br />lootnA:1,4741.1 Vect ith ei•ro4 .i— Gm gilx4 E Cli 47.1:te,5 PrAe4— <br />"cix÷- Ae,,-- sg k eithe, <br />— Pact IA.) i1 /2 Olc- -4.c 0 pit-0' <br />— Oy,-+c) 1'4hIrc.-- VeVryvi .4. 7 OL 0 oAte',C, %PC'S. i4'Wte- <br />r6'1' e <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: PPm Heat: °F <br />Exp. Date: Warewashing Sink: .F Quat. Amm.: PPm Other: °F <br />Received By / Title: Ce- 44....d 4-t...... ---, <br />EH Specialist: Phone: vo <br />‘A Vo — C/1577 <br />Time in: Time Out: Paeg <br />EHD 16-24 (2,0 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION