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SAN JOAQUIN COU Y <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: ..0-6k.A.M-1.- prO C144 C.-12-• Date: FA& _/,.5 <br />Address: i bote 6 s 1../..). i a_c ri e r Prti-e- City: Zip Code: <br />Owner/Operator: 0-uoti ryi x n(4.4._ I 1 /43,--cx.z re.L.t... oi tig_3(42:01 (4) Telephone: ctaa _34,3 C <br />Program Element: 1(03(0 Program Record: p R 05 3,10844 Inspection Type: 12_0(4 4i yLe <br />SB180Posted )r.. Yes No Permit Posted )(Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />36/ X /.6706A77, <br />, . <br />LA.,. c.... A L I 8 6 47 <br />Oun <br />o <br /> 0- N (I) al ID 010 50 cuL3 I 34 14;7 <br />i 0 - 47 eY1--a <br />0-R +0 1,55 N rrni 4 -6, r 1Q. 4.5 <br />em/Location i Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F iChlorine: PPm Heat: °F <br />Exp. Date: Warewashing Sink: .F Quat. Amm.: PPm Other: °F <br />Received By! Title: <br />/ <br />EH Specialist: / / / Phone: 9(53 _ 9 3 ii - Time in: <br />R 't 0 Time Out: F..ato Page t of <br />END 16-24 (2^4 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION