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SAN JOAQUIN C0410 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />co <br /> c h co,-, \la c K.,,,N, L cl-te_L, Date: V6") €) <br />Address: 44 T-1,0 (mall- Icv\,e City: si...tAir_tryl.1 <br />10 <br />Zip Code: Cisi_bk., <br />Owner/Operator: <br />2 pc4 G Offig-7 PIA21,e-1 -C) Telephone: 2_44 <br />Program Element: /12 cc.) Program Record: L c.) 0 6 4 c cA cr...) Inspection Type: <br />(UM OCOni— <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />(44-1)k an-i- fs-trAele: vorOurc-, sex rIg 04- -1-)%e 0 TAA--60 c, <br />_.‘f2o vnart_et ,,44,--th (AA \-- hati t-th If ‘2,e/rrn <br />0) )2fIc\c/tr -\ (-> se_fi i rn C--IYAN cui-LQ-c- cAcl 1 1-ejt1 (A-C1 ro <br />0.02c aneoQs ,ciseEtit c).„__ o-c a Co r. ID' orth nu.k_ <br />-makay 01-0 6-Avin a \-tp_o 1th TeATIV+— .c.eAtill <br />Item/Location 1 Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: ,F Chlorine: ppm Heat: 0 <br />Exp. Date: Warewashing Sink: 0 Quat. Amm.: ppm Other: 0 <br />Received By / Tit , <br />EH Specialist: LI 44 Phone: 2 ()a — 4_(,, ._ -2 Z <br />Time in: <br />ft. <br /> )v, Time Out: lk : 0_0 Page( of / <br />EHD 16-24 (2nd pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION