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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.siciov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ppoj ,\..k gt.c.), i (.., ri bk p i .1-Fi Date: i 1 2.... 3 <br />Address: --z. c; (--/ -D C FL--- ta.A-2,..c4z5i tY: Zip Code: 9...( 2 - <br />5—.4- C <br />Owner/Operator: elephone: <br />Program Element( CR A Program Record: _c) _ 1 I 1 2-- <br />Inspection Type: g o 0.7_1 t,ve <br />'--- _ <br />SB180 Posted ertsr) No Permit Posted No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Cc C., o 9--Q—--1_41:::. P ,L1).---`----"-TTS <br />--2_--)7____L-1 P 62._AA ) -t- 4" r-t--- 6-6- <br />Item/Location Temperature Item / Location emperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing ) <br />Name: Hand Sink: .F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: .F Quat. Amm.: ppm Other: °F <br />Received By / Title: fici 17 <br />EH Specialist: Phone: <br />Time in: Time Out: Page i of 1 <br />EHD 16-24 (2nd pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION <br />-J