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SAN JOAQUIN COUI <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Haze1ton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />'Name of Facility: A L, n c TuLit i, 4-)t,i (43E '324 Date: I/ ;17_1 t r5— <br />Address: ti _ liordi <br />I- <br />City: r.;.;trxx ,tun Zip Code: <br />‘N ON <br />Owner/Operator: t1-:oCAL /.4 Q-._ el, Telephone: 4b,_ _ b55?, <br />Program Element:.1 t ‘.62-.)-) Program Record: P. '' 2 -1- .4 3', Inspection Type: tzouv.k.) rue_ <br />SB180 Posted Yes No Permit Posted Yes No ) Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />UN 1-1(24- ' C 0 ()TLC, ond, 2-'1? cocie, cr V?* s\dii,c, 04 <br />v eA\ (It _i_ DA- l.eGiSi-- \ ' • <br />yrrkcivial2 a •-ooci van cA .ScxJecP/O-i -k-i ca\-e <br />pc voC-02 <br />3 (A.(ITO-V1-• \-V201-rh r*1\--)1A- nu+ or) NcA \ n \ r) <br />CoNyl 00- 0111 31-1\The c7 - <br />4- - CC,111004- scQ, \---)41r - Vin-li \ Ft v-ood <br />NUrty-e/V c VA-c-e..\-9 Cvrki-V=IVI-e \ c .FeCs=1‘i <br />/v .. C v ' r CX\ SI k <br />• f 1fm7Location Tes11-3' ature <br />-a- d z \.,1--C. <br />----,.... , -ci ity otWater Temperature Ware washing <br />Name: Hand Sink: I (..) C' .F Chlorine: CA ppm Heat: F <br />Exp. Date: Warewashing Sink: I 7 (..) fa Clue. Amm.: ppm Other: °F <br />Received By! Title: it <br />WI' <br />EH Specialist: <br />i <br />Phone: <br />A LAi# 5 4 4 6 <br />Time in: 9 : zs.- Time Out: q : Page2f <br />END 16-24 (2 pg) 4/3/13 <br />FOOD PROGRAM OIR CONTINUATION