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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.org/ehd <br />'\\ - I <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 1\1\ 06 r\-k.o....;n‘ <br />_ <br />t--\\:.3, \x/2.12 _ C\ i \,,, \ Date: ko .—‘ \ — 2 --- <br />City: f\ Address: "--) --:::: \ ----• /.J\ 0,.:...,\.,r-N ..-sk <br />v..1143_ , j...,Lre.... Zip Code: c;\ 5 .:.,,-.A I <br />Owner/Operator: h.. <br />'. \ \ \---\- - ....),.,.. \_, \-- --A_ -- ' <br />Telephone: <br />Program ElerMi627/ 1 L.._)ci_s Program Record :.5 ..i .2..„0..i..2_/ 3 .,A - Inspection Type:c2,,c) ,,,A-Zre I ''' <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />-- OBSERVATIONS AND CORRECTIVE ACTIONS _______ <br />1 <br />o <br />i <br />, <br />it <br />L ItemILocatlofl'i? Temperature ' Item I Location Temperature <br />VSr <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine: ppm Heat: . <br />Exp. Date: arewashing Sink: o F Quat. Amm.: ppm Other: . <br />Received By! Title:i)i iii 1_1 <br />I i - 0 ,,,,' <br />.... ' t '1'( <br />EH Specialist Specialist: 0.-- \—\0\, <br />Phone: 20c.i __ ks„). 1 b,_ <br />Time in: C o.. ,k..---, .:7- .).4y\ <br />Time Out: Page of ....,k ..• 1 -s- _ ....A ._..,.. <br />EHD 16-24 (2^, pg) 4/3/13