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SAN JOAQUIN COU, I <br /> r ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> a 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 47Fda� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: VDI"nO •R/G .-2 Date: <br /> Address: ZZO <br /> l- ` / City: 1_ .�.� Zip Code: .Z�3 <br /> Owner/Operator: r 'r Telephone: ,q�• <br /> Program Element: % Program R cord: /f Inspection Type: ;Zptoc..L/,re� <br /> 6180 Posted 5 Yes 91,ftmit Posted es I Reinspection on or After: ?� <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ( to Sib t$a .ae�x�' � pas tomos a I.t <br /> ps�o t c e <br /> Pr ✓Ota jam_ <br /> we C.La v Ca l� <br /> Han boa p ttio-F "OA Cot-h,Ce (ern C,-, de.. ovl- OL <br /> `Py44 - <br /> m-es , 1 <br /> 3(.ICACx__+ S - I <br /> L)'o o r0 cP- 6A 0'_+ Oi U 4vn4_S <br /> Item/Location Temperature Item I Location L Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: 'e 1 er U_C e V'SL and Sink: I—' e)O of hlorine: PPM Heat: eF <br /> Exp.Date: I O _ I I arewashing Sink: eF uat.Amm.: PPM Other: of <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> _/(,T 53 —� 17 <br /> O <br /> Time in: !. �/ Time Out: /_ O ! Pages of <br /> EHD 1644(2"pg) 4/31_113 uJ FOOD PROGRAM OR COoNTTII-NUATION <br />