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OBSERVATIONS AND CORRECTIVE ACTIONS <br />AAA1 <br />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.siqov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPOR <br />Name of Facility: C/t2. 1(111 --4"3 h 3 Date: <br />I la r234 <br />Address: 41 t'll ot D K City: ;:, ~mai, vilaimil 1, <br />Zip Code. . "Barans <br />—I. <br />Owner/Operator: • <br /> . W C, Ckrrv M ) -/ <br />I * e <br />0/9,4F ; Telephone: S <br />Program Element: if Pl Program Record: Inspection Type: <br />SB180 Posted Ye No Permit Posted Yes o Re-Inspection on or After: <br />POSsi R,moc namo owro.v rotike cAi-t4 gi7,(4e <br />7-0() oYi <br />v\Q- twegior), (Ii) y14Jt,(0/ viryealinici Vi <br />DK -1-1) icscAu ovAs poorytid- vice pQtrii471-- <br />-Gee (c rotAA <br />Item/Location Temperature Item / Locatiofill erature <br />Heat: <br />Exp. Date: <br /> Warewashing Sink: <br />Received By / Title: <br />EH Specialist: <br /> <br />Time in: <br /> <br />DI) ot--(pkto---31) <br />Pag 4 of <br />Phone: <br />Time Out: <br />Food Safety CertifIcatio ility Hot Water Temperature <br />Name: Hand Sink: °F <br />°F <br />Chlorine: <br />Quat. Amm.: <br />PPm <br />PPm Other: <br />FOOD PROGRAM OIR CONTINUATION <br />EHD 16-24 (2nd pg) 4/3/13 <br />prz