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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.org/ehd <br />OOD PROGRAM OFFICIAL INSPECTION REPOR <br />Name of Facility: 1-/W.,i c o tA \ utcAct .i ---r <br /> <br />.\ pj(-1 c, tp Date: q (011\ii <br />Address: 4 €1 tio cut co- st- <br />City: <br />(/i I <br />Zip Code: <br />. Owner/Operator. nAMD VC( <br />Telephone: <br />'RITA Program Element: Program Record:IVAA2.tc <br />kt (P <br />Inspection Type: \LI <br />SB180 Posted Yes N Permit Posted 6--:-s--) No Re-Inspection on or After: <br /> <br />OBSERVATIONS AND "CORRECTIVE ACTI10 <br /> <br />'e OM sFAA,) AN CAAS4oTh0Jr4 -n—CQ-QT—(7o <br />PtioectotetLira Plq. <br />Q.0-kAAN2_ icipe ctuyi, n D 111P,TY A biGi-h MS. <br />(10 Q-e -I nCloe chvfl <br />oefaYWI-- 011,02 OiC 11) [SSW 2,0Z,C pern- <br />) -çct i <br />Item/Location Temperature <br />Temperature <br />Chlorine:PPm Heat: °F <br />Food Safety Certification Facility Hot Water <br />Name: Hand Sink: .F <br />Exp. Date: Warewashing Sink: .F Quat. Amm.:PPm Other: °F <br />Received By / Title: • 4 C ( z, c 4 <br />EH Specialist: &WM," Phone: 4900E_, t 0 <br />. _ el....A ..f 1 <br />ime in: <br />EHD 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION <br />PK'OSL( Lt