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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.siclov.orWehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: - P-044cc c/ *442- <br />Date: /t t? //J <br />Address:...,,a0/4:3 Si_: City: <br />S/13'41r <br />Zip Code: 93.....zici Go <br />Owner/Operator: mot.,--..2„..... Ofrtes-c-e .dr-- Telephone: <br />Program Element: jele Program Record: 2-- _7... Inspection Type: R-0-•*,17,-1-C- <br />SB180 Posted 446010 No Permit Posted ...) No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />-17-e/11/%444" ob—eil cng /kto <br />fry-rce,i-e.,.......erea,"1-- (..0,: v'eCto 0"artegi---) is a . 4 • - di.,?_e;,461c <br />77,--7)444-Ge_ (.:1- tp-44" -.14 - - • c - a - . - 0 ; (I , c't <br />40°X 4te#4-Ce-- tut .1..:r 60_,...zy -1--h ,w) pu- • i (7-41-6.-si 4~47 ,. <br />ex76 45-9 <br />W 742 -,....4.7Y-- 4,-- z.-4:7 /1. pee <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />°F Name: Hand Sink: o F Chlorine: ppm Heat: <br />Exp. Date: Warewashing Sink: o F Quat. Amm.: ppm Other: °F <br />Received By / Title: i , p i r 0 4 I (VIrti.- • --t1 <br />EM Specialist: io' Phone: Odp <br />Time in: $47 am. Time Out: Page/ of 1 <br />EHD 16-24 (2^, pg) 413113 <br /> FOOD PROGRAM OIR CON INU I