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soP-co-k____LN. .0 <br />16,, 114i <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.sigov.orgiehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: i,..k) tort° .0 tf-iF, Date: /:?V' <br />Address: 35.5c, Ai CAI 1 440" mg? <br />VIK <br />City: A507) GAT-900Q <br />Zip Code: J24C)..... <br />Owner/Operator: Telephone: <br />Program Element: 1 x4, 251/- Program Record: ' ite.)...5 Inspection Type:g7601-frj <br />SB180 Post- • a- No Permit Posted illapNo Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />5 iiq ce -0, Pee 10-48- p y 0 <br /> <br />i , <br />A)0 ilcrbit_ ‘, i i I___A-t-7,00.1 IAA <br />9it /iv 5 I.' 6 .77 ---*/ 04#.j rr (0/.3 ese 0 ,x..:r /5 61 /4 ,O-7 — <br />p /to v I v,5 v--41- P / V /A. <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: °F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: Quat. Amm.: ppm Other: °F <br />Received By / Title: Vt...7-------- <br />[. Phone: 2.40 9._ j--• Ey ..2. EH Specialist: <br />Time in: Time Out: Pay 07 <br />EHD 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION