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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.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPOR <br />Name of Facility: Pi <br />0 <br />it if 37 c9..D-.— Date: Pr D2 <br />Address: City: MD Zip Code: Ow # Li—. <br />Owner/Operator: <br />v Li <br />Telephone: 4//7s, 2 '739 <br />Program Element: ke, Program Record: /vs p 0-3- Inspection Type: ikt nizi <br />SB180 Posted Yes No <br />— _ - <br />Permit Posted es o Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />ill 4 Sp dl a A at , 0 I .. .TIMILA.- <br />I/045 W' ' / - -4, 44-2 s i - Y - -c- • 13/1/tS <br />lAil GO" Pviiit a 612Y,Pol- vi--fr-ru-nat, pYOttICP1 <br />7L7) issw gog4 p e 14 1 74 - 1 - 441-e--0 pe,m-L-4-- <br />Ls P <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Chlorine:Heat: PPm °F Name: Hand Sink: .F <br />Warewashing Sink: . Quat. Amm.: ppm Other: °F Exp. Date: <br />Received By / TitlesZAica / fle a • <br />EH Specialist: <br />A/b—JZ <br />Phone: 6)4 q._162 /6 .3e4 <br />Time in: Time Out: Page/of/ <br />EHD 16-24 (2^, pg) 413/13 <br /> FOOD PRO RA