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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.siclov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: / 4- X Tr e f,ti ( - Date: ?, 2 <br />Address: S. On ; , sn City: s J I Zip Code: q 52c <br />Owner/Operator: A ni 4 0 Jo 'WS - ill Co ry 4 ni <br />Telephone: s s / ..... 2 <br />Program Element: it 3 Program Record: <br />-2. f 7 0 96 7 Inspection Type: g <br />SB180 Posted 0 Yes 0 Rermit Posted 0 Yes 0 I Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ,* <br />I/ ; in 4 36 3 ) <br />ter a rt a 9, e f (er I . 1:r le ; ..,2 nic ,i I n J <br />(e 0 ca ; r I :ici h i - ; " 2/ v)t. e K s. 3 Cleo , ' rec‘ch Cc f I e, C 4 -ic,d4 . b 0 .. / 04 il <br />9 Pea C h - ; ^ r(A A A; ft q 4 4 I , 771a : PI 40 ; 0, re . tl'i CI "- ..... <br />C T 1 ed - ay q 4 0 r b e ic is; Li 1 1. <br />1)61 per "eWc 1 D <br />1 <br />). V Q tin : 2 6 pr 1 5. I- J— <br />le 0 <br />,4e: <br />COch-;(‘ <br />Temperature item / Location Temperature <br />416 i-- & 't 00 A41ohle <br />Food Safety Certi ication Facility Hot Water Temperature <br />Hand Sink: `F <br />Warewashing <br />Chlorine: pp, 1Heat. <br />Other: <br />. Name: <br />Exp. Date: Warewashing Sink: o F <br />_.-- <br />Quat Amm : ppm <br />[Received By / Title: Received [ <br />EH Specialist: - Phone: <br />I/6 1-.3 i‘fr <br />Time in: Time Out: <br />C? 3 7- <br />Page of, <br />g. <br />END 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION