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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 sjgov org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: P ha /17 s 6-eaok_ Foo d se, A .--os.D._ Date: 4 -,,z _/5 <br />Address: <br />-6 / a a. 54t ute r) 5 Lei <br />City: titkova04.7 Zip Code: <br />, I 9 !? <br />Owner/Operator: A • <br />V <br />• <br />)vice rl 4- Ow) rn ( <br />.10 3) 6 en_ 5. , 2. oat Telephone: .1346/0" <br />Inspection Type: zA Program Element: i 4. ato, Program Record: pik 0 6 5 E ') 141 <br />SB180 Posted 4 Yes CRermit Posted D Yes *-9! 1 OC, OKA_ Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />ULA todt4c. -3(.06uar1 szi 2-98 <br />6_51 L.s yylcx.4. I 'D i c,÷0.-e_. <br />T be-Fo L—C f_,Ltif, • <br />1/451,1 ktav-e <br />• <br />Phçiyvt5 6eoi fo o (+- (-12-41 4- <br /> nu-) hi vs 1,1 cl w-Le_ <br />C 5 4-et 4-f p cø ck-e_ <br />once_ Ti 0-e <br /> <br />D -he y ' <br /> <br />53-c.E.14-Doe_aory-, <br />Item/Location Temperature Item Location Temperature <br />Name: <br />Facility Hot Water To <br />Hand Sink: <br />perature <br />°F Chlorine: <br />Warewashing <br />PPm Heat: <br />Safety Certification <br />°F <br />Exp. Date: Warewashing Sink: Quat. Amm.: PPm Other: °F <br />Received By / Title: <br />EH Specialist: <br />Time in: to e <br />EHD 16-24 (2'4 pg) 413/13 <br />(AA-; kla -966 114,Aid -fy Phone: 6)6 3 s • 1 -2 <br />Time Out: " 7; Du Page of / <br />FOOD PROGRAM OIR CONTINUATION