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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.sjqov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: /14 oZzot2 Pic)o bi) e Date: Iii 1,V..0 <br />Address: City: ictor,,1 Zip Zip Code:fs-0 <br />;--- 8" 2 8*- -5'- al 5:71:- 5Z <br />Owner/Operator: Telephone: <br />Program Element: AA Program Record: frizeo 5-it p 8.03 Inspection Type: /4507,i <br />SB180 Posted 4114, No Permit Posted (ftE9 No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />122:6 te" sraff-e-- Axv— <br />I 37/1 / <br />ele 47 t o Is e 25 PeAeL/\.4 <br />e /14 ---r- fi/C /04 <br />Item/Location Temperature Item / Location Temperature <br />Facility Hot Water Temperature Warewashing Food Safety Certification <br />Name: Hand Sink: °F Chlorine: PPm Heat: <br />Exp. Date: Warewashing Sink: Quat. Amm.: ppm Other: <br />Received By / Title: <br />EH Specialist: -----114:nr- <br />Time in: <br /> <br />Phone: <br />2 <br />391 <br />Time Out: Page/of/ <br /> <br />EHD 16-24 (2^, pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION