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Address: ..vir_NI.,n‘7 -‘ <br />Owner/Operator: <br />BSERVATIONS AND CORRECTIVE ACTIONS <br />vAQ.e,,, pciu& r)c)A- VoITIA-an cc,Ty CO- <br />O\ -WfTwS <br />ok- ).sSVu2 JV 2 C1c <br />Name of Facility: <LI-1n C.ock IA ,A4 t Date: -,-_-7)--14c <br />City: CIA-DcAc4v-n Zip Code:Cic); <br />TelephoneF-A 020 C) <br />Program Element: <br />SB180 Posted <br />Program Record: <br />es El Permit Posted Boyer111 I <br />Inspection Type: wet fl_e_ <br />Re-Inspection on or After: <br />EHD 16-24 (2", pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />Exp. Date: Warewashing Sink: Quat. Amm.: PPm Other: , °F °F <br />Received By / Title: <br />EH Specialist: <br />Time in: s C <br />- tA-Prn - <br />Phone: 10 q 4S+1 <br />Time Out: Ett .3() Paget of <br />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.sigov.orcilehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT