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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 Facility: 1.... 1 .g-ej (-2,H iop_n-F.,- .F.-__-.„0 it> 1b C--; 6 Date: i y s 1 2_3 ( (-,-F-,P--r—) <br />Address: ....-- -47.7.,_p--0-.1 City: Zip Code: <br /> <br />,...• / <br /> (-13 <br />Owner/Operator: Telephone: <br />Program Element: • 6 .....3, Program Record:pe C) )„.77.__. Inspection Type: 11 , , ...,...11,17, <br />SB180 Posted es- ) _ 0 Permit PosteAcreIM No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Ai e2 i, 101 e3 -2-i ON 5- -0 0 ,s-__02._ve.42 0 <br />e lee49, <br /> <br />70 45%5 ;1--t-t /c25.r. Ovi a 7- a ik., ..--- <br />‘., P—F—' - r' A 't7 .. 1' €—#2.- An i ‹r"--- -F etS <br />erUnperature Item / Location Temperature <br />,4'/L9 7—c/4•441) / <br />FoodS f .-----ety Certification Facility Hot Water Temperature Warewashing <br />Name: r ,L 0 wq 4cu waand Sink: i .:„..??..s. ,F Chlorine: ppm Heat: . <br />. \ 0 0 ,F Quat. Amm.: ppm Other: ....„ Exp. Date: (3,/ zp ..._ 24?-• W.12ing-Sink: <br />Received By / Title: <br />EH Specialist: Phone: <br />Time in: Time Out: Page of <br />EHD 16-24 (2'd pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUAl ION