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awpy SAN JOAQUIN COUN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.smgov.org/ehd <br /> ��FORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � � V_ L l ors r Date: 1-/ 1q/t3 <br /> Address: 'bq 1A Ila-ntm V- *.,I City: 4;tDct Zip Code: Q52M <br /> Owner/Operator: w3\10-0- an(�,t ,Tcx- i n Telephone: <br /> Sar1;P a <br /> Program Element (b 15 Program Record: F90 t (03013 Inspection Type:Fox1 ne, <br /> SB180 Posted Wes FvNo Permit Posted Yes VINo Re-Inspection on or After: 2 W244'.S <br /> 2 PAN. _ .��`� OBSERVATIONS AND CORRECTIVE ACTIONS <br /> t CC 1r= -C1 OSI rq 470- V_4?,Ct MXn lour i s brvt,en . i r /ne riau, l w24e t::- <br /> Q wr>✓lvvash sink i s 1� iso. -rpt. �P�rrrx� rs�tke <br /> SP7reU u -�- s1— in A- <br /> M s CIS a i- waw-f- -s 11 'x, u nr?lu 1tl_e, <br /> 4v\v- Uhd i rreG1 I-e 120°F� x r\ <br /> Item/Location Temperature item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat. Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: `¢ � Phone: t-Ko 19 <br /> Time in: 2 Time Out: Z: `rs— PageZf <br /> EHD 16-24 (2n°pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />