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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.siciov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: k\Abi us 44,s1---A4j44irt cstInCe. cD..a,.. Date: 11 F7 <br />ddress: --1--i1:7A ot i t..) City: F.Au 0/K1--D\I Zip Code: tihresie, <br />Owner/Operator: I S Ci• Telephone:7 , • iwi ia_ca <br />Program Element: t <br />(g Q Program Record: WP5S4-eici Inspection Type: rn a inat_ <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: 1 al Lt. ...a.o.D...2. <br />OBSERVATIONS ANIMORRECTIVE ACTIONS <br />rn iutnt 1 Mr\-fv,5-e-UM, rqteo--t. <br />f'n'elk I n Irast-ALLv#Lrft, (wiew1/410/ vin e-, <br />_ -h <br />'cae --- MG?eo--1 or) (Ael ale vv._Q , <br />Munity17 ciAvaiKe.bo in 1 vrd-; <br />110.11 1)12)K c, 00 r, <br />&,1 A issiii-e <br />ELL1-Air <br />6167. <br />a_Ofer (..G mei oe,--- P <br />i& <br />Gt.ifi <br />vv +.(pW.,iyt- <br />\nvestiAm-e aro Aw,4-&solty-.4, A <br />Opt Di, ge- I JIG pe_0(-1 r1.-- I 0 V lei P _0 <br />m/ be A11AV t AL # / ,,s on aginmen <br />off VbC 2 NAAToo WpfeA7 Art11-4 <br />VtitAA -1-D 1 prp.voli- p --f-r2i-cp <br />o' Y1 riti 6 <br />Item/Location Temperature1111MINEMIIMiihsaiktiiii— - :remperattv <br />1111.111k1Safety Certification Facility Hot Water Temperature Warewashing <br />0 Name: Hand Sink: o F Chlorine: ppm Heat: <br />Exp. Date: Warewashing Sink: CF Quat. Amm.: ppm Other: 0 <br />% Received By / Title: <br />EH Specialist:AO-- <br />Phone: a-Cyl ____ (.9 i 6 <br />Time in: a, Dm Time Out: 1 .96 prn Page lof i <br />EHD 16-24 (2" pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION