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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> � .'; 600 EAST MAIN STREET,STOCKTON, CA 95202-3029 <br /> �; ; , •,, TELEPHONE:(209)468-3420 FAX:(209)464-0138 WEB:WWW.SJGOV.ORGlEHD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: kI Date: <br /> 1 ,,f +.t 2-iv-a <br /> G <br /> Address: W ; k u W g # 1 City: S4 Kk Zip Code: q rw <br /> Owner/Operator: A C r a T, W Telephone: q 6 V 2Y 3 3 <br /> Program Element: 16 CJ tl rogram Record: Co 00 <br /> a 9 s' Inspection Type: CO <br /> iSB180 Posted - es ❑ No Permit Posted *Yes n No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> (,o .nopes. 0A - - Gr1 CC/r0/r.; " ,0"4-S d4tA y er •J-+ �o <br /> � Uw h �: 11 V` rah 5 d ; G <br /> S, 0Ve11 e W e e V e d b e l : # h OL rf1, A t4 Qa + <br /> S �Omc'ch , A.s o q 164 SJ1r 5 It docs, fell we II. <br /> J e- d: s;�' ' Serve Q 0 pope.- 4e to p era Iuf ea <br /> u A 11 re r' v e r-on � 0 5 L M A i 5 fec ; ✓e <br /> 'I VN Se 6u d re Oarl Or Tu 11 01 <br /> iSoared �n 4- her 1'1'1p onA;se . s <br /> q dor aC . �. > r ✓PS circ nd Lld Hnn <br /> San I, s e e „ <br /> $ G K r 0 LAo ,F fr �1I•e a+n } r 1' ac; 1' 's ha <br /> has on - Me rl e t i an a A p11r }a w d:s [ pi S er <br /> 4h r dr <br /> fart e rV1 10 r r he r l <br /> kGod5 Oh a oll OT r S Thr. <br /> ha5 been D 4aryl ; A 0 ft 01 r,' ar- W: }h Wa �cr <br /> �ra9gM ! of her e /cv e P.% J ),e e 4 Ccun )er 30 <br /> Cl 11 lel S 01 r o a F 4 rr Wel i rri S e r <br /> a- h er 1 ea v roll 0 4 P ,; P ,.r }owe) oA <br /> C0LAtj r far hCIA ;n nor ; n s 44 Ye d <br /> Unc1-- Unir\ q er- � u 1 6 S a 4 ' Me- <br /> dT <br /> 1nS L ��un � M 1e,, are as .. ha ; n be fwPen <br /> Order's ryper1 . <br /> I <br /> Item/Location emperature Item 1 Location Temperature Item!Location Temperature <br /> 3 doar 6J0 ve 7v 3 `! F <br /> Lila - i h 7 F <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: U[ riLI ! o ppm/P S .r Hand Sink: PF Chlorine: Heat: o f <br /> Exp.Date: )a- 1 - 1 <br /> 0 arewashing Sink: lav of Quat.Amm.: �7 O ppm Other: of <br /> Received By 1 Title: f � rc <br /> EH Specialist: Phone: / <br /> Time in-. q:s� Time Out: 10: L)s Page 1 of <br /> EHD 18-23 (2'l pg) 8114/08 FOOD CIR CONTlNUATW <br /> 08114108 <br />