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SAN JOAQUIN COUNill <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orcilehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />At 67211644 -a— • Date: i 2 _ ....1-- 3 <br />Address: Jo 2A0 kaz City: itedev /e2 Zip Code: qf 5.....• ST7 <br />PPL Z 4 1./ Y <br />Owner/Operator:i_ Telephone: ,4% <br />W G2 (7 rz7 11-71 4.-1,-/- ZO 4 Ur if ia <br />Program Element: Program Record: PRo.(4 2 578 Inspection Type: <br />jer'a <br />S8180 Posted Yes o Permit Posted Yes 0 Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />e05 f- s 6 friP . <br />L-4/44 /6a -4-frifi-71 1,1-/-0-24 TlefYi -S 7,.. , _ <br />- Okay -17) i_crue - ir 2,9/4 <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine:Heat: PPm °F <br />Exp. Date: 'Warewashing Sink: . Quat. Amm.:PPm Other: °F <br />Received By! Title: , <br />1:2. 04/ <br />EH Specialist: Phone: <br />iftz, <br />q C 3-4-69 g , <br />Time in: er-- Time Out: Page of <br />EHD 16-24 (2"' pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION