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!•!...=..mer=4" 2: <br />tor id711,!!!i•-< 1: <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sicov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 1 0 c--1-6A. /4---- Date: r.Igloty.., 0 z ,, i r.t5 r? ell _ 4 <br />Address: 3 V N b e-i-- A4 A g , City: 5t....., ,,....ns...ri Zip Code: 52 _,1 5 <br />Owner/Operator: Telephone: <br />Program Element: 55° Program Record: Me:554e .3 7,5 Inspection Type: <br />SB180 Posted No Permit PostectrNo Re-Inspection on or After <br />, r OBSERVATIONS AND CORRECTIVE ACTIONS <br />i%) ° V I c, L." -re> /-1,-S 7 em.<--^1 -1-1. I <br />( ,.s. PL>e. c---- q o f--- 1 I 9 <br />V k A7 --rv ii -xii 26 2 15' Pricivi PI- cY-fc //2-/k4 1-r - <br />--c--- ..., , e eq i n . <br />L r c .- g56 2- 9 i-3 <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashinq <br />Name: Hand Sink: o F Chlorine:PPm Heat: °F <br />Exp. Date: Warewashing Sink: 0 F Quat. Amm.: PPm Other: °F <br />._ <br />Receiveritle:1 an Cc 5a, 1--- a 6 ir.i. <br />EH Specialist: , Phone: Z0 5.60 -=e2-3 1 i <br />Time in: Time Out: Page Af <br />EHD 16-24 (2nd pg) 4/3/13 FOOD P ROGRAM