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SAN JOAQUIN COUN* <br />ENVIRONMENTAL HEALTH DEPT;TMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: N7V...a.,\p/ --1 ' Date: <br />Address: 6SD 4 vudleN .,;‘,./c\ City: c.1(0)(01,40-1-\-0 Zip Code: ci <br />Owner/Operator: A Po F-OW \ 1 CI S Y- by icAt Telephone: <br />Program Element: \ ko crb Program Record: 0 0-1-5 i 9--( Inspection Type: co n\A ttatt, 0 <br />SB180 Posted F Yes 0 Rermit Posted r Yes D I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />L Lk flle W Ci NC( 'I I-- F" 5 Li ‘d: --_} <br />pi 0 5 Li j/ 4.1 i <br />-fl-te, Wood 1 s rrici.--1 n a Ludt a noice - ---i x cic c)01-1 <br />C \-7 asc-,-% \A/2 woo& \No-rke--S yr-Upea\I <br />Co - -- . ' ‘. ..a - • 0111 "V 'w t <br />vzcAl \as a se kk- - oos \ n cs Os \'‘ Le. cii-) 1-`ck e 0-NAT-once <br />606 z <br />k- -cee <br />oC- 4 g_ub %, yaio _ rt: liv <br />r--oocl Wood 1i2A-- cciwaS or Clice <br />Temperature Item / Location Temperature <br />2- 1 cocke-p_ <br />A.e_cAu Az0;te- <br />Food Safety Certification Facility Hot Water Temperature ' — , <br />Hand Sink: ( 0 0 oF <br />Warewashing <br />Name: me 0 ro ep_ ki_01,4 t4 Chlorine: ppm Heat: <br />Exp. Date: <br />.4-0-Sf'2-0 <br />Warewashing Sink: 17_0 0F Quat. Amm. Fr va A ppm Other: <br />Received By / Title: Received _........o„...--< <br />EH Specialist: Phone: <br />Time in: in: Ci : 40 Time Out: q ,. c Page( ofr-- <br />EHD 16-24 (2,4 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION