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SAN JOAQUIN COL 'Y <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> : .4 X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:wwW.siQov.orq/ehd <br /> CI F'O.�a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e h Au cvAi d + �" c*-e n Date: <br /> 1 2 "e1 -) <br /> Address: .Z 4P LA <br /> i 1 m Y� r L41 City: �CAL� Zip Code: .7 <br /> 121 <br /> Owner/Operator: i Telephone: <br /> y7 8 <br /> Program Element: r_2,6 Program Record: P I Z 9 L C) Inspection Type:•����r <br /> SB 180 Posted es No Permit Posted Yes No Re-Inspection on or After: <br /> lili l <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 - •�- -4e a zo'' ha 1. kze.. ��� <br /> ab La LU a4e r- <br /> 014 <br /> 14 l- tk3l <br /> -z w� <br /> r rt •6`1 s hn 4- <br /> aj bct L w CLZV I C_2 Ira a q_ C1C V";C.e_ Q-f <br /> -Ho re C D n-4,a MA' -4-I n ri +a "hw a-l{r <br /> Lt1 <br /> h i !k e n n -e o8 w4r r Ks w m-le-r . <br /> '-.e_Ze r 4' tzt;fm r1 v-e r r n . <br /> O lJ`1 a ACI Cjrj Lpo W_r <br /> ld� ►'� �►'1 r od of v-F <br /> -cU n Z^ watx4n Cmo(r' <br /> 4L 516 ('j)r r t? I w .e.K . " <br /> Y.0. v r �C g4e-8 8 , -Pro v4 Az <br /> C.0 V-er'S 46 _.. r a-e�!S_._ _ d r to-e-h 7pg n !6 hg„Lc fie. C-0 Ve re_d <br /> Co r r,e C4- -+�- � — <br /> 4temJLocation — i Temperature he aTern�er�atu'` <br /> J <br /> �tot-� d. C- -- <br /> Wo r rn.e y- % k,\jcx,_1 ( _ —��eQF 127 -+ n n e n n hl bO <br /> Food Safety Certification Facility Hot Water Temperature Wares ashing <br /> Nam --;Hand Sink: Chlorine: Heat: <br /> �it'►l t�►n,� J -ThomD Y7 (OO°F PPM o °F <br /> Exp.Date: arewashing Sink: 130*F Ouat.Amm.: ZpOppm Other: 'F <br /> Received By/Title: <br /> EH Specialis . Phone: q,J1719 I^ <br /> Time in: 1 2 GjsJ- Time Out: �w O / Page, of 3 <br /> EHD 1624 (2otl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />