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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.siqov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility:A4 6,er V. Ale 1W 1 c-A-- •J Fo 0 k Date: ii / <br />Address: <br />906 E. IV ,94Z 0 iNy V 1A1 At": 11 c/CTU <br />Zip Code: <br /> OS <br />Owner/Operator: Telephone: <br />Program Element: j3 Program Record: rt 0.5-3 77-712 Inspection Type: R6 Lip me <br />SB180 Poste No Permit Posted No Re-Inspection on or After: <br />—. <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Ala v i 0 4. 6-n ON,..5 la Ek)p -t rot er l <br />o b e 4 )Q 7- --- 0 Li e. i4; - froc.,4-1-8- 0 <br />-A? 1$50 5 21225 rErk-4 i 1---" .av c• <br />---ie---- i.s- Pe4 i V 0. <br />Item/Location Temperature Item / Location Temperature <br />te,rk -71-4444 Ad t 54-e itusi ,e be-- / 93 f <br />1-14ed-c, ;4-edowty / 97F <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: A4 e r . Hand Sink: /2 / 0 F Chlorine: ppm Heat: ., <br />Exp. Date: 0 2.422- <br />Warewashing Sink: . Quat. Amm.: ppm Other: . <br />Received By / Title: it.... al; <br />EH Specialist:.. Phone: 24), , 5-,t5 /_,, ko 92,3 .-..-- - 1...,411...--,•:-_- - Time in: Time Out: Pagroy <br />EHD 16-24 (2^d pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATI