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SAN JOAQUIN COUN if <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.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: y.....ti )1 44 I... C e 0 t- Az, po if-‘ Date: 2...24 71 <br />, ddress: ' ) City: Zip Code: /1 <br />Owner/Operator: ger yv 1 ? 4._j_e__ ...t.... loe crut„ Telephone: 2.01 tio 1 lexty <br />Program Element: 1 to vg Program Record: f Co o f,./ 013 Inspection Type:fe <br />J <br />ll", 14, • i litho.% <br />SB180 Posted Yes No - Permit Posted Yes No Re-Inspection on or After: <br />% OBSERVATIONS AND CORRECTIVE ACTIONS <br />t 1 U ,c/.8. T2- 4.1 -, ,t/ eti _) ra Fr ii/ /silt - /71‘ 4 A- <br />ki II\I I C768G4P1104 13bbq3_S <br />O 12. P ra -tv 46 v 1 i 51'1a,vke, 1C., 5 hlyy ice fiVel(1414 I, A., i <br />WRIAti OYU-ell 1- -Pd Ov i---- Cp4,1fYliti a yy . 1 _C0111171 <br />rim I A / / W Citkiil pat- .-- /4 r • / ' A ' / <br />Ci)-141)C II I a ic:te ii Po all (4, /au n I b //v19 M Ali' YI Al <br />Peit Al.4(41 jv frcitivvvrat.-- +191,vtic- 0 <br />avid vtioilwof iviii 10 <br />176 /ti5 <br />i ssue gOg4 1).-ev rv-vt -f--, <br />° Item/Location . Temperature Item I Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: ' _ , ,_. . _ Hand Sink:oF ii 4' Chlorine: PPm Heat: 0 <br />Exp. Date: <br />I <br />Warewashing Sink: 124, . Quat. Amm.: ppm Other: 0 <br />Received By / Title: <br />_ <br />lb. ihk4. , 'Ard <br />EH Specialist: f Phone: <br />ll —3L1 2-0 Time in: q r -7 _42 Time Out: Page- of • <br />. - <br />EHD 16-24 (2"' pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION