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AMMO' <br />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.sioov.oro/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPOR <br />Name of Facility: 6weci. Ti2ee_tr---734/vv 2._ Date: I Mic7.).7-A 00 23 <br />Address: .02,-3. 6. th;Thej im, AwriLie, City: Str()<1.-mj Zip Code: C.I iTh <br />Owner/Operator: clauculroyo Dja jess...tAE _siziwa cc <br />Program Element: 422? <br />p Telephone: at 1-242_--10be " <br />-(.2 - 4 Program Record: g y4-7 4.03 Inspection Type: Fixat n ei <br />58180 Posted es No Permit Posted es No Re-inspection on or After: iv firi_ <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Colai nv} Inpe(,riun. no V) Diatoris rib 4ice--ine 5 p ecti (yi - <br />lapAvtitif- on c-e. i Sā€” Ok to 101,1e) 2.02.3 peyvinut - .{-e <br />MA 1 p <br />!tern/Location Temperature item! Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: fiend Sink: oF Chlorine: ppm Heat: °F <br />Exp. Date: WarewashIng Sink: .F Ouat. Amm.: ppm Other: °F <br />Received By / Title: jo-ra Aart , esol` EH Specialist 00 / , P174,Kte_.e Phone: 9-0 9 --Li ( tie ā€”30 <br />me In: el ! 27D mei Time Out: t (Lour Page I of I <br />END 16-24 (2,6 pg) 413113 FOOD PROGRAM OIR CONTINUATION