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SAN JOAQUIN COUN <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orq/ehd <br />-4-34?) <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ,(A cf . gl.- Lo d 0 c I 6 - . ' c; c. (_CA fl— Date: <br />Address: <br />L . Moin City: y...ocy., ter\ Zip Code: <br />Owner/Operator: Telephone: ilt. ...ci 693 <br />Program Element: I (.,.,,-;., -2, Program Record: Inspection Type: wx,thniz <br />SB180 Posted 0 Yes 0 Rermit Posted E Yes E I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />W 0 172SCA2Sied 111.12, cootcing ok- -1122qe ell MR. Car+ - tiacrri- inu-e_ <br />.+0 a cki 01-11\1 v---0/).eo-tlin 9 AID-1- boanci oi- --oolAS vc Galaxy& <br />_ Jut <br />-S r Itle (St9tPC. ve wo12-0 c n 11zON lat, 11\e. follcvkinq <br />- -c,‘CAlikvi norne 1 3" <br />- cmnfiec home, . \ If <br />- c -h1,; stct4e old ).-‘1) ccae. , \ <br />(5 No lAwn4-ed ,socki) 07- pK,f-- -tzvels cki-- \-Ionc),nV 40Lovcae, -t-z--r-ty <br />3 t() ellacc On 111.0 Stitec cc TilZ Cart - \712Nicle cts &-30t) ci& posslura <br />6 lizArd,S-Oc- NA- Se* up \\MI.\ v•iCk4eiz-ancl ToU-- i, 1 zo5ce - <br />iio,i-- \401-eig. vvaS ccinAkr.4-egl ottd wo4e-T OdcP..e 1---0 e,EseA-v cii g„ <br />WC41-CF t2eachek 0 01.1:---- <br />_ <br />Item/Location Temperature Item / Location _ [Temperature <br />çj facility Hot Water Temperature <br />Hand Sink: ( c c,-j .F <br />Warewashing <br />Chlorine: ppm Heat: . Name: (514 ri L.c <br />Exp. Date: Warewashing Sink: .F Quat. Amm.:. ppm Other: <br />Received By / Title: q i -/----,---(•:/...,,4% --- <br /> 411b EH Specialist: Phone: --3 exacf 4 q) f.fr /- ...•44111' <br />Time in: p ,. c: crf Time Out: Page:iof 2. <br />EHD 16-24 (2^,pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION