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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.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: R i hl -44 1-b 1 3 Mli Ak.ET '/IC Date: 6 / — vit.-20 AA <br />Address: i.../‘ 2 .6 AI L v w c A Iv /140 City: L /A./t,eiv, Zip Code: <br />Owner/Operator: pcmAl we-7....e,02.. 6 Telephone: <br />1 Program Element: 61k) Program Record: c 0.0 0- 5 55W 5 2- Inspection Type: c041/01_,A /Kir <br />SB180 Posted No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />c it4 pi...191A) /Nlit e 5.7-1 -T) <br />thrluAg 0*- j2M p L..ç//.17 - p z-pfAJ AArr lovter-WIR 150 gitiS Paw y <br />-7-54 /1/4-7-- Fig ‹- irs' eon, • LA nr -r AA 1A- - /VAZI) 3rtn7ki6 <br />ILL 2 -- No (}A._ 1,47-6c _ D iv 7-6' 6/1/ 19 0 -77-L6 tve4...5 / 2_ 77 / 2.e) edlOPM/A,•- -../ <br />14 -r kv evV-t- 7 4) LWPcS iS 10:1 4 ithas.e-.6 Al I 7-0.4 A26:10 poi.rexv <br />(36 542Y kr /ON': A4er 5-t2,,R.E i#1 /4 / CH 42--e-tE <br /> fio4s-. <br />A Atm ifz. .57.1° GO,Ip s1V-0( 1 Ai r A Alp At RV6- R6e4OZT -Ei) t .51-r7V2.1 dt, <br />iw.e7 TAW 4 /4 11,44,/ (;) 01 5 ofe_ A NZ) ,A/2 (4 I- 2&' ae) g71, <br />an, ci - .47-mo 6e vep A 4 /ye) 7" Go e449--)-- 1:2 2, / 7 - <br />&A2?t' cris <br />/iv ,s-Pci-ir,A1 fPr/.1/ ANZ ),ed, <br />e y, <br />Name: <br />Food Safety Certification Facility Hot Water Temperature <br />Hand Sink: °F Chlorine: <br />Warewashing <br />PPm Heat: °F <br />Exp. Date: Warewashing Sink: °F Quat. Amm.: PPm Other: °F <br />Received By/ Title:51 4..A.//4 -1-41 Ajar C, l 0aQL3 <br />EH Specialist:(0 ,..... <br />00 A-RA <br />EHD 16-24 (2"d pg) 4/3/13 <br />eoeteio <br />,9R.,/, er2. ,A.fI Aar/N A litN/4 <br />Phone: 2,427--- 5 4, / 292-3 <br />Time Out: t 2.„4 VVI <br />Page/ of/ <br />FOOD PROGRAM OIR CONTINUATION <br />Time in: