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SAN JOAQUIN COU <br /> -+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Ielri Fa✓Yl I d ( s &A_ Date: _Y/$ <br /> Address: -6(001 PCL C.4 �vt City: ` +0n Zip Code: CY rJ 1 I <br /> Owner/Operator: m j cket L I 2 c�C_r1 V-C MLS c� Telephone: 4L42-6. <br /> L42_6.O g <br /> Program Element: Program Record: R D 3(0-7(.0 O Inspection Type: �U--H <br /> 6180 Posted Yes ❑ Rermit Posted Yes ❑ 1 Re-Inspection on or After: <br /> ,,. <br /> r OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1lei <br /> --- <br /> pv pLir <br /> ma'd"7log h q-7 f3 <br /> S cs� OY GI � r <br /> Ll <br /> Item/Location Temperature Item i Location — Temperature <br /> 1 � _ <br /> Food Safety Certification Facility Hot Water TemperatureWarewashing <br /> Name: . Hand Sink: of Chlorine: ppm Heat: oF� <br /> Exp.Date: _f arewashing Sink: `4;L0 of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: r Phone: <br /> Time in: 14-14-19 / Time Out: , , Pag of <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />