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oPas i"• SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />c4( pdarp Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'aov.ora/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Y111AIPAit <br />61) <br />Date: I I L41 <br />Address: <br />City: ( <br />J <br />zip Code: <br />Owner/Operator: <br />Telephone: l i L-1_ <br />W1 -71171-9(45 <br />1 `f <br />Program Element: l <br />Pr ram Record: ss Inspection Type: 1 <br />SB180 Posted es No <br />Permit Posted Yes No <br />Re -Inspection on or After: N/A <br />-,, <br />__. TIONS ALD CORRECTI CT_ IONS <br />t I YLL ll:.- <br />I <br />I nri <br />U✓ VL D <br />- <br />- Temperature <br />2 b Y <br />rcoo <br />kt, f <br />LH <br />In <br />s n 2Q <br />ood Safety Certlfl_ca <br />Name: <br />acility Hot Water Temperature Warewashing.'- <br />Hand Sink: -F Chlorine: PPM Heat: =F <br />Exp. Date: <br />lWarewashing <br />Sink: -F <br />Oust. Amm.: PPM Other: =P <br />Received By/ Title: <br />EH Speclalist: <br />Phone: _ <br />Time in: yo <br />VMTime <br />Out: Z� m Page2ot Z. <br />EHD 1624 (2N pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />