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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 />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Icp(t. Ar\ota'am * &S.4-efi 4 b Date: <br />Address: tt015 54y, -dic.44.i, i vt City: Shoru.„ Zip Code: nr-- 0?&S- <br />Owner/Operator: L -3-ocia, <br />ti IM coltv, Telephone: <br />Program Element: Program Record: 11,0,3_,..t 6 t4 1 Inspection Type: <br />SB180 Posted /9 No Permit Posted No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />k(i/ 4:c to5-4-CP14Cb <br />kilig * 16 13-A/34/-53 tci (495- <br />- c4,11.4 V.- - <br />Aill'e PckPAcs 0. soc_, <br />&-- to ivo,,,- Jcir 7,0 l'z1/4 ovq.c, Sr-cs LOA, -,1"•-• cpeta . ?vii,,,i,..N- <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: <br />IV74 <br />Hand Sink: o F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: . Quat. Amm.: ppm Other: °F <br />Received By / Title: <br />Phone: EH Specialist:1,<7/2.61 — <br />Time in: cA -, i L Time Out: qi .. 1 i., Page of <br />EHD 16-24 (2^, pg) 4/3/13 <br /> FOOD