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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.orq/ehd <br /> <br />sp4cC <br />o to -oil, FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: \.-Tior1/41(.1.,t mt I 6 prz, cLtc+s (Mk ,,,,.± ]E::2 I4) Date: .; 7/7._ ba K., <br />Address: <br />5- I 5- I -_'f' C''' <br />City: Zip Code: <br />Owner/Operator: t Mcorg A v -e (.41,44... d o lair& 144 ffi 0) Telephone: 5 <br />-1 E-ei -z-(13 r <br />Program Element: I 0 0 PrograrriAecord: <br />.3;R co oo3qzz5- Inspection Type: Coot pt et VI/Cr <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTION <br />-19.5ertie4L -Oru6-45 <br />a/A14-d r" Lk:Jr-3 04- ‘.61( <br />0 oci- a re 019124N )2 <br />17v2A et4-tki CVA S <br />czt_s4iL a <br />C <br />tt cowl ot 145 y ) <br />y •ifv\22-- erns <br />1342Z 51-k-0 rP - <br />s 12Qnot , <br />so t ' <br /> <br />ps • „ - <br /> <br />I g- <br />(& 3(cy17S <br />5 IiAc) re_Aastu 4-71 <br />et s-esoy\slci_ -' <br />*k0 r IA . <br />C CIAA 'I et) ) <br />A 0 --E ak h cuAQ +0 <br />Item I Location oca ion Temperature <br />Quat, Amm.: <br />Name: <br />Exp. Date: <br />Hand Sink: <br />Facility Hot Water Temperature <br />'Chlorine: <br />Warewashing Sink: <br />°F <br />Warewashing <br />Heat: <br />Other: <br />Food Safety Certification <br />PPm <br />PPm <br />CF <br />°F <br />"-NY A/6--o <br />tA) <br />I \ owl <br />(7t - Te No A c )'• <br />Phone: <br />L'r 4:0 <br />Time Out: l:11-0 a Ann <br />Received By / Title: <br />EH Specialist: <br />Page of Time in: <br />EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION