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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 />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of of Facility: fa\- \ \ 'tp \--ok,1/4_41-2_ ,f•-A. -A- — 1,-..-1- Date: <br />Address: \ \ --7 City: r\o, Or Zip Code: <br />Owner/Operator: Telephone: <br />PrograTM t.\. s Program Record: s-\,4 b .-T --/ cy s 1/44 ,,c) 7 2__ Inspection Type: <br /> <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />c..;-- V_...m,...s. <br />'S 5 oor 6A3—Qc.)h _ -i:--c--- <br />....., <br />---,4--i--\-L.U. f-\ <br />_..) <br />-p.cy.--\-r.. s - (_,D \rx,--e.J4- - l'-w(_-.-},--ep _) -9-c <br />A \.1 ?),._ )1,-,0 „, '..s ‘--:\ \ .‘ ?' r•-c-) <br />I. \Q'‘ r- (.1..\)4\ pc_r__,), --v-,,,Ni^44._ .-0 -2-Q <br />O\N• NC:) \'"NJE'' -AL -(-(2 <br />(-.. <br />4) jr (C,,,\'\''Q' <br />'C--0.-D'I 1 1 -S F / <br />- ---\--.-N \3\-...-- 1 Q.\ <br />VN r ; C\--/7 Cs2AJ--- (13.---(2 - q \ F <br />V3Z)i k S *F <br />ocatlon <br />OP L i) ' •1'.a. <br />Item' Location , <br />Qdi ci-) <br />T LI <br />O'i -6117---- <br />(0k \1--- V— CC., %-.1 "C-1/4-)"-- . A-7.4r7./:1"-R t ‘4, F <br />Li? Q t+k k‘.02._ c-'• p\'(--jqpb c3-g 0,--,S-k,0 4 F: <br />ty Certification , Facility Hot Water Temperature . WarewashIng <br />p p, Heat: °F Name: Hand Sink: °F Chlorine: <br />Exp. Date: Warewashing Sink: °F " Quat Amm.: ppm Other: °F <br />Received By /Title: 46.2:33 `111 eiv 6,j <br />EH Specialist Phone: <br />e-.... Time in: r ' .) 71 1,.. Time Out: i Page3f / <br />EFID 16-24 (3/d pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION