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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.orci/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT, <br />Name of Facility: ka,i2bLt- <br />Date: /// 7x.e3.2v..2,3 ,.erie, 'Oat.. <br />Address: (3..3 a aro& A7enu..)2i eis City: (Stepturi Zip Code: <br />Owner/Operator: kpat <br />Telephone:J.0 f.....9a3-S/ y <br />Program Element: Program Record: r j-# Inspection Type: e.,orn Many_ <br />SB180 Posted Yes No Permit Posted Yes t" o Re-Inspection on or After: /7 ar <br />- Af)rn.p/a,t,n 1 rkSpa al (In (20 117.9-0" 1/1 MI <br />n c7-' nsp 1 vii <br />evonw ig aAVa-r-e, e -0 - r n piatirt /4 0,ustryz,_-/-•niad- <br />WI- 19-p Alta' PuPP was ea /4 /..2 (587., 9--ar <br />ci-Az PiA0 /1 0 aam4a bel-/7 .eta.e?1.-. Ue-GISICY71.0-- /9 --Kea was 4. A .••• 40 -'(-)2-1 a-/-Lou 1---/--- fic-Ell- / A, WaS ta-t ptot-Lav' oziagc /zzr-/-- <br />/ #e --, ._,---- W-Em g; hx,,, ,_/-fruz, /Imo ba_a A)..p._4A,Q,(e, <br />/..rve a. 4,ruvriia--12d6 6&1:6 ‘1e-v7ot c.kz..d_zzi_} <br />a /6.4.e4a-Lp a w <br />r <br />Item/1. Temperature Item / Location <br />Food Safety Certification Facility Hot Water Temperature Warewashimilia <br />Heat: <br />MI, <br />Name: Hand Sink: 0F Chlorine: p p , °F <br />Exp. Date: Warewashing Sink: 0 Quat. Amm.: ppm Other: 0 <br />Received By / Title: 0/itetteat -t-o R..vao eti-me b rco 6.451..1 <br />3 <br />i <br />EH Specialist: <br />CeAA- ba,teAQ" <br />Phone: I b -3 <br />Time in: I r go r rn Time Out: /1 5 0 /2 1.-y7 Page/of / <br />END 16-24 (2", pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION