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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.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Date: ( Vrilici Name of Facility: Lk V....19,44ec taA 014,44.4, -i;_, t...14 <br />ddress: "I A ( City: Zip Code: . .1,41(...b VrAte., <br />9644720 <br />- Owner/Operator: c....- Fli evtg) ,__A Telephone: r k LI im6 VeAniCA VIA <br />Program Element: 00 G Program Record1/ Inspection Type: <br /> f-e-6144-h; 6 SB180 Posted Yes Permit Posted tri3 No Re-Inspection on or After: <br />11111MILMIM113SERVATIONS AND CORRECTIVE ACTIONS <br />if S6190 idi Ad+ cosc ckce!tti . ‘C'Wc7 A AA 'VW V ' Nee - ,ilty,4i& <br />to_94,A @ a ii s r 1 .w <br />Ogr,v)ArAr- .14, lf:\61 vAvitc... iv1.•_, StAttive- Ca vti.s e <br />9 (1,111 r5 cAc-- At ) • <br />_.,. ,. 1....t p.a.. <br />Item/Location Tempe i <br />Food Safety Certification Facility Hot Water Temperature .itia Warewashing <br />Chlorine: ppm Heat: <br />Mk& <br />°F Name: A Hand Sink: .F <br />Exp. Date: Warewashing Sink: .F Quat. Amm.: ppm Other: °F <br />Received By / Title: <br />Phone: 1.70,1 _ ‘_.( kiii , 0 EH Specialist: <br />Time in: Time Out: Page of <br />EHD 16-24 (20 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION