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r ..FA SAN JOAQUIN COU ( <br /> r ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siciov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: VaLe S Date: <br /> Address: 501 <br /> 7-4,A- <br /> C_0 C� City: �1'-t/10"'IZip Code: 9:520, <br /> Owner/Operator: � Telephone: Li-7.4`33 <br /> Program Element: /,. Program Record: P R U'5 a75 Z Inspection Type: nR, <br /> SB180 Posted Wes No Permit Posted Pas No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONSILL <br /> c Y I <br /> l41 <br /> .b PoI.ti 17 Y � LOC, Ce r w c e i <br /> e _ . _6 ha,Lk L4 10 F p y Lo ver <br /> 4 1'tol? avd�>� __ ooc1� urs <br /> nn' rn-t r, <br /> Wet% e Grte U)7sq ei. r <br /> I o ),5 <br /> r Q Kt •fit Lt n a-c4s to d • prvL W S <br /> f& kl-f U d <br /> r r7C.00 t4P r n <br /> Un n i4l- n c re m,6- Las+i� �fl r . Irec2 <br /> Qti 5 -F Wa,4 r - h10- dLe, C-S Looso . 12e_= r- <br /> n O f 1--s <br /> I Sof VW--e, a V; (J-,2 9w S cQB <br /> 03)_ C,e- r -eul-S r_1.O+ + <br /> n ..e k1-5 - C-*&e w- <br /> 1 a, r`ot arc p I m i Carr+ -f d-ti-M -C <br /> ,1 It_�2 v-a_,e 1 Ls TYI Y to — w� <br /> itemlLocationTemperature ( Item!.Location . Temperature <br /> — —__ <br /> j--, <br /> . �� f <br /> Ll 11= <br /> Food'safety Certification Ir Facility Hot Water Temperature Warewashing <br /> Name: �IHand Sink 'F 'Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: -F Ouat. A m : eloD ppm Other of <br /> Received By/Title: L!� <br /> EH Specialist: C Phone: q5 3 _7 Cfo <br /> !me in: 0- Time Out: j � G Peg or <br /> EHD 16-24 (2-pg) 4I 13 A FOOD PROGRAM OIR CA NUATION <br />