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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.sigov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: owl " k D MC- 00 rloi d PrL>ctikcc2- .---`4 7 305 Date: / _ 21- /s y <br />Address: <br />395 <br />Zip Code: <br />-2— A lActS+cfS; I vi . <br />City: 4;4_6 c ei <br />Owner/Operator: Telephone: g 72 _0-7 <fs zi --R-3 het hi ti a m 0_0 ortIsl <br />Program Element: • ' <br />/ L 3 C, <br />Program Record: <br />5g <br />Inspection Type: <br />os-2_6 6 <br />S B180 Posted 74fes No Permit Posted ices No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIO <br />Alct9A4 hc-' c ( /A 5 in/ tA s f .L,-c_ <br />0 lC-- -i-t. 1 5 5 LA-t.____fe-r - vv‘(‘-fr 0 Kc-ra._ -r-e-Q5 0- v—e- P0ij • <br />-- Item/Location _ _ Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature I Warewashing <br />Name: Hand Sink: .F Chlorine: ppm ,Heat: `F <br />Exp. Date: Warewashing Sink: . Quat. Amm.: ppm Other: °F <br />Received By / Title: <br />k./PI e'_be-me/le <br />EH Specialist: . t - Phone: Licz s -11 <br />Time in: <br />q / 0 <br />Time Out ,s .. Page (of i 25— <br />END 16-24 (2^4 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION