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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:pa oo,o‘ VIZ tA.A 1 (.. rg - .,aat,/ q, 1-0,0d, 01 vs- (Y3). Date: q !ti p <br />Address: 9-• % city: 541°K.fDt,) Zip Code: <br />Owner/Operator: 7-- a _ / i 4 Telephone:56:V_ b7c77 a„A ne, Program Element: (p b 5 Program Record: <br />g 0 s q. 0 -5-15-3 <br />Inspection Type: <br />SB180 Posted Yes No Permit Posted (Y) No Re-Inspection on or After: <br />. . <br />OBSERVATIONS AND CORRECTIVE ACTIONS4 , <br />0 SaAA Ce 01n i Ci2J AA i-i-. Aittet plitiV,,e I Ge,&D 11„44 <br />iS litAriclitk\.PLUK,y il, As of-- (4 vi \ A - kurIQS . e_AW-t 0-ttlYri-oki• <br />.vy\o‘16 non- :1 019 A A, tittri ti 0 AP 04= 1)211C K- <br />&V'HeAk tc) f' A O <br />P. i d- i SV estv\V- t) ,9_,A, UA,Ki. Ai 1 - 9 ft2-061 title P[Pre • <br />(.) --1-00&21- i n v,) 46ukivq1(zioddi .roc. <br />11,00, rflo(9 utiglEvbigtr9 '_vUiR12/1/ CO.nul- Ithfty <br />C) 11(-3t4Df Azi,w ebcccettad ‘0-• //OF AS9 —A-04-- <br />(A)6(4eA7 ha,eile-i So ho-7L-buai-ov ts a_ <br />144klit rn tkevi d .1-- 1 ?_C) F o-'1'PL71-- -today- <br />b Ou 115171 an-To-at/nal Pvizarjwiac e, <br />-.-7),S-e4/t/tc,e, wIt(ttit) lares- Ecr„ e_ g de 2 / e-10V.12A . leo, /Ale MAN/ <br />Item/Location Temperature Item/ Location Temperature <br />31 F 4) rfio ,_c 7 /7 l< <br />Gr .- <br /> <br />b <br />lid -F--- Ce bAOAC — On ( 6.e. <br />1 lastioterMAL udat . Li 7-F <br />1, . 61-tafri 1 522f <br />Food Safety CerrcatIon Facility Hot Water Temperature Warewashing <br />Name: 4--1 17-, 0 / , f Hand Sink: 0 °F Chlorine: pprin Heat: °F <br />Exp. Date: I t ?.../ _ arewashing Sink /0 .F Quat. Amm.: ppm Other: °F <br />Received By! Title: pc i <br />EH Specialist: r Phone: c).61q_101b__3 d )47 <br />Time in: I Time Out: Page/ of z- <br />EHD 16-24 (2'd pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION