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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.siclov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPOR <br />Name of Facility: ()2A-17_ ()acme e* .-1e4 to r_i v/ Date: I I I <br />Address: t 0 ot s aa D P-- <br />City: ni UMW Zip Code: 4 &3 c 1 <br />-1) Telephone: —1-R- CC& IMO Owner/Operator: 012 <br />Program <br />ml.i. <br />Record: <br />P12-0; 1.-1-4; <br />Program Element: 1 0 i1-7 0 <br />Inspection Type: 2451juitke j <br />SB180 Posted Y No Permit Posted 6\4 No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />.., <br />9,1011V ai Wwf-t. 01 I liT TW:66-1 <br />. <br />I. <br />.. <br />n ) 1fl &C'tWfl . <br />.c,..iiko -- zuzs 04 to pernd-- io.A4Ge p2-12-04 <br />Ca. lc 19a,t_pk., <br />Item / Location "temperature Temperature Item/Location <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: o F Quat. Amm.: ppm Other: °F <br />, <br />Received By / Title. f '— lr ow' <br />EH Specialist: <br />01° ibial0212--- <br />Phone: gbcf_b t v. 3 b 1_1_10 <br />Time in: Time Out: Page/ of I <br />EFID 16-24 (2^d pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION <br />1712 0 SI-11 3 Lo