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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility:[dylcia 1.---,-xprecc6 Date: b <br />City: 5 Ica-Tali Zip Code: Address: il -ri <br />i-t <br />m; i <br />PL O./ <br />Owner/Opera tor: 1. e < <br />70. <br />mb i Atizircveio Telephone: 09)2qe, _1187 <br />Program Element: \J Program Recor :. 0 . ,1 26t/ ? 6 655 i Inspection Type: ./". A-mercy Peri* <br />SB180 Posted Yes N Permit Posted Yes N Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />---F. El kid- t Kim er ti A vorce 6 /4--1 an 3 err! 1 <br />lead c'ry-)k. 51,161-ri sMied ikel (A weAs Kauced /r rn <br />uoteHeAded lithk buroiar 1 oboenied i-kle walk- i', Fri e, <br />G-ee-Fer Ani4 cae all I\ kk,r ki, orde r kimb-rki cA41-c4z4 p,v.)cr <br />Edi <br /> <br />Fe prOley4-ion 1-0 recilitr9e --/ 4;1,5., / clerAi4 -' wok. Jo-01p f or ,. 1 ._ ait. ei nactc,e rurAp. 16triy 5+6c1-e0 +L-1- 564 1-7-re prriteciiia-L <br />a afrhie a-d- 1: 5 ,..i-ri. 13isqnee-.6 ' re5L4ene oplorn.416,-1. poi' 1 i <br />cic-ter roh56,1 I-7re_ Pro-i-er+ia irAiskes c/e4.1 -up 6,1d rediAttri <br />A n6c-if 57_5-te 11-7 • <br />11)01c ' di/ /Me rood darviaff ed 1)7 or lesi.1-in a fly ietouyed by fo <br />sitt. Ci‘re Wert tkovvel of Lua), 4,5 pre?(-0 a ii e ce i . / <br />Item/Location Temperaturej Item /Location , i Temperature <br />c-recre,r/Bccic <br />tjA.ik - i a rr-1 ea/km.(445k- 39 <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine:Heat: PPm °F <br />Exp. Date: Warewashing Sink: <br />Received By / Title: K aiberij A it}c,irack / 6eiler.c.„, / itico <br />Quat Amm • PPm Other: °F <br />C-04 <br />Phone: (2)cco <br /> r <br />8..... .6.e/.8 EH Specialist: <br /> <br />to01/1 <br />Time In: v , 2 pry) Time Out: Page /of I <br />EHD 16.24 (2^, pg) 4/3/13