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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 />4c43 ,1e4 n tt_ Lys c ty,7-E-(1--- Date: Name of Facility:1 acv 7-_-i.esta <br />Address: S: Se/17Th S--f- City: pi to.6, silo Zip Code: ei .3s / <br />Owner/Operator: cies-us riwi _td___. Telephone: <br />Program Elementt &" 3s Program Rec-or-d:-0 02_06L-1-75-8-0 Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />V[Pi kUar CH- 3 wyi, was ob=d /tAt-- <br />- ea_ze,c- s,1 hey- ko 6oirv hit <br />IKt-) 1,2_0 F a) ,f44- /Coe- <br />Ooot hamter,v (,1-'s 4tie-P.,e ne-- avvilith la . <br />-r44we a-u- -r-P0- ,s- ka,t;,e_ a_ d <br />-{---62a;t <br />, <br /> _ h / , 1 i piA7 <br />1 , Pff --/6S I SSW Z,9 L-1 <br />p.p.Arri,ti-- _ cerl,p_p_ id-er-r----7 /-ee I s FeLud <br />KIA hlet(oV 1 /1 P-ea J C - --c_434-1, <br />lie ocation At <br />LI TM= 7/WDE AjIMEIr/ <br />1 'tort' 7ter _ ,A .,_A _Art- <br />Te .perature _ Item / Location Temperature <br />I 14 : <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: oLeStiS /77 j,/i9 Hand Sink: 10-7— ° <br />F Chlorine: ppm Heat: °F <br />Exp. Date: .,/....1/ ,6-- Warewashing Sink: -+__ oF Quat. Amm.:(?..00 ppm Other: °F I/ / <br />Received By / Title: <br />EH Specialist: <br />AA-Z/2XL- <br />Phone: 90 q--(0 /0 /4 —150 <br />Time in: Time Out: Paget of i <br />END 16-24 (2nd pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION