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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.sjqov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Wukusa_ kir i.4 (le -e., j* -.40c) yi ?.. 1...„. 1 Date: Mc <br />ddress: t -&‘ <br />01,14-e- <A—. <br />City: ‘lec, L.6,,,, Zip Code: <br />Owner/Operator: 6100.4 ,, imet..., vcA 4A Az..t.... Telephone: <br />Program Element: kto ' Program Record: p_cy--y1/41 -1._. k'l (t) Inspection Type: r <br />SB180 Posted Yes *pp Permit Posted e No Re-Inspection on or After: <br />/ <br />OBSERVATIONS AND CORRECTIVE ACTIONSIIMEMilligilligalaa- <br />1,;c, * 1 OC))4 L 3_ <br />Y T-TAGiro W,. vw,k- emi-rw; st%leo 97c4eck -PrAr pvbIi , d4 fDl1fl.ke-ri o ef <br />Wkifl rn 513. *0 12t9 * e a W 477—• A•• 6' It th 4 .co' <br />1 TTACtill VS Irt. CAr14 nu ilk2.- 4 ore,voi-r-v- C7-4, cfrt air- ..7-.- c‘cir , , <br />(PAw) twvItAvV1 2" ATI- Sift . pro 14 ,Ile. w-t74-44;,;1 clef c <br />-rAcATrki.) ic., getl vsiViYi•e 11.yo ckoc. AAA...1 61\ oPt A 0,1114AL , <br />Q;- <br /> JI e!LocatF Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: . Quat. Amm.: ppm Other: °F <br />Received By / Title: (1/9 -e' --\J /44 --e--- _ • A, <br />EH Specialist: Phone: 7- 0 , ,M <br />Time in: Time Out: Page of <br />EHD 16-24 (2" pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION