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o.t, • . ..o <br />ci•govi <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orcilehd <br />E TION REPORT — — i - — --- -- _ .,..j-- /..\- <br />Name of Facility: t i V r litAk.ALV Date: I) }::\. i-; \--/-5-5 -1--p-7 INC kii, <br />ri Address: <br />-2-7 <br />/ • <br />City: (:..A..v, Ot A 7 Zip Code: c ?Is <br />1. AL- A LI <br />Owner/Operator: <br />/ / i /,,,* v <br />Telephone: <br />Program Element: 1 II ,--ifo Program ecord: Inspection Type: <br />SB180 Posted 61 o Permit Posted Ye N Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />proaucP -wove, <br />skoT ptvotuc.e to irriftv . oc_f.--_,6-y,:uhot <br />0,0-ovu, ,Al ic.2..e ol1dyi, rip ytil,t4/W Vil)&.jur:5-1n,C, <br />9--tr1519- vw <br />DV--tv twAR 09,D)-_,set,fli mce 2e)imA-1-/- <br />fce_ isioa,k,1 <br />Temperature Item / Location Temperature Item/Location <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: . Goat. Amm.: ppm Other: °F <br />Received By / Title.N./. (./ ya/44 i',-I? Vt-ii/9C/ 72- <br />EH Specialist: A4UJA Phone: a 0 i 17,..:3b449 <br />Time in: Time Out: Page pf / <br />EHD 16-24 (2,4 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION