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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.sicov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 1)/\6., .% r\e*tak,0 coriV, Date: <br />Address: 1,(\00:1-`'e„.. Wm. II& ,. City:Zip Code: 1,6(i‘ <br />VI-TO <br />Owner/Operator: -c-415 / . <br />Telephone: (kA(A*\ <br />Program Element: ko •-ti-r....) Program Record: 65' `;‘1 ?-•?"-Z- <br />Inspection Type: <br />SB180 Posted Lie_s) No Permit Posted al_ No Re-Inspection on or After: <br />I OBSERVATIONS AND CORRECTIVE ACTIONS <br />1--0,1411 , KA4g.tc_ke. 4cd vv\Ubi 4-41.• 410-14.1--. <br />' 64 LoUs. ...„,...., .c.„v,,,64. 4c) ,t( 4.-ei Cu4,4d0Y_A r- <br />it CAA 1-5 ACA-•:‘ (Alic-- vvA vw-- tA- Alx-- 4rillir &L,..,ivent- S4A46- <br />111° Cizile-- (esel wi t Pekin I c 1 icroort. (1 3 147.01-14 Viet <br />CAA' Q. 41 • cr-ktt, 0 v.._ +„ ky,,,t, pr,,,„v,.;4— ovv.e..- Ce-t-S 11414"c_ <br />4e4steN - V11'1 <br />Item/Location Temperature Item / Location Temperature <br />1'0 "AIX 1 &‘'Ai,Vvi 411 Es\e <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: PPm Heat: . <br />Exp. Date: Warewashing Sink: °F Quat. Amm.: PPm Other: 0 <br />Received By! Title: <br />i\IL ,t7-.:- <br />EH Specialist: Phone: tcA_ (4_ <br />Time in: Time Out: Page of <br />EHD 16-24 (2"1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION