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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 REPORT <br />Name of Facility: .4 LITN-7 rl Date: /Lay <br />Address: ., <br />.p:-1-,--rAien <br />t----iu-pfri City: 4 mtAi d i fb <br />Zip Code: 9 <br />i <br />Telephone: Owner/Operator: '-` 1 liA k no sa <br />c_AAVI <br />Program Element: Program Rec : (f-2$4 p i c1.-1-1 Inspection Type:all ra, cLI5 <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />likV tm aY) O 0, 1)1 A7--1 ThoS 6 19.ceA\Loyel <br />DL- Iv I/Le, v;,-1- 2&v_4(14A:-- t-n ce_ <br />4444,— \Dse,v .W t to AL,If <br />Item/Location Temperature Item / Location Temperature <br />\ f <br />MIMS! Allt-A drtorie pr40 <br />Jou)/ ITi-vA- - <br />Food Safety Certification Food Facility Hot Water T perature Warewashing <br />Name: Ayi, StAY2-4 Hand Sink: 1 ) .F Chlorine: ppm Heat: . <br />Exp. Date: 0 Warewashing Sink: . Quat. Amm.: ppm Other: . <br />Received By / Title: <br />EH Specialist: \Ai Phone: ci to ii —30 <br />Time in: Time Out: Pagel of A <br />EHD 16-24 (2nd pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION