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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: IA.t.cyr 6., <br /> ...- (4 Fictict.; Date: I VziA/9 <br />Address: _ ( City: Exiac, plook Zip Code: 095-..—xil <br />Owner/Operator: meowovbi cvmqc" _ uvr je_ca Telephone: <br />Program Element: kt-)k) Program Record: Inspection Type: <br />SB180 Posted s No Permit Posted es No Re-Inspection on or After: <br />All OBSERVATIONS AND CORRECTIVE ACTIONS AL_ Ai& <br />U t. 'Vr 4---)( `-tbo -4, <br />C,/ csAs ,41,4A.. Atv,v Cce.„4-LA 5 k thAfp cktrA r,,A..,„ otii <br />40411tA 0 kik't, ‘citA-rfArt, @, <kW% 4-' vv.;:4_, <br />C8- <br />. <br />F7.5vt, onll- Ar - -zdza ovv_. -r2ce„-c Ilt tA,v _ber,__15N:8_,. <br />Item/Location Temperature Item / Location Temperature <br />Food S ety Certiftimaikimig._ Facility Hot Water Temperature Warewashing <br />Name: <br />44—/ <br />Hand Sink: .F Chlorine: ppm Heat: °F <br />Exp. Date: <br />P - <br /> <br />-Cf )R t7 <br />i <br />C/1 d 'e <br />4 ,101/ <br />Warewashng Sink: . Quat. Amm.: ppm Other: °F <br />Received By / Title: <br />EH Specialist: Phone: tok:\ c.i.96._ no._ <br />..1-.APt/(11-----''' <br />Time in: Time Out: Page o <br />[HD 16-24 (2'd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION