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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.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: V ylwAlQ: yit tuz, Date: L-(-1173-1 )_ j....f <br />Address: -3c-j-- City: SVDCAC ) Zip Code: _JD -U)--C ,g wasun Ci•-, Owner/Operator:c) Q UM^ Telephone: 'Th <br />gt Program Element: ProgArn-ReCord: <br />a .- th <br />Inspection Type: <br />- Ni2.1 <br />SB180 Posted Yes . Permit Posted Yes (No Re-Inspection on or After: <br />-, - <br />OBSERVATIONS AND CORRECTIVE ACTIONS , , lenkbet Yiekftt (:/upq of 19,1(4-ru <br />1()Uzik S12 'D ,t, • <br />(1).15\41.)-\11 LT) c x p ecAl 170 , n D (JO7 vt Wsk.-41-13-'0 s <br />Temperature Item / Location Temperature Item/Location <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: oF Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: 0 Quat. Amm.: ppm Other: °F <br />Received By / Title: v. 7(. ilk e fo EH Specialist: <br />WCeAZ <br />Phone: <br />---- le 1 lo - 0 <br />Time in: Time Out: ! wcirh Page 'of I <br />FOOD PROGRAM OIR END 16-24 (2nd pg) 4/3/13 <br />FRO53 gl co