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SAN JOAQUIN COW% <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.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: (.1 c-‘I ' V pf eSC) I c cif /--.) Vie)°, .4..e_A--- 3 4 v _ \pi ci /14,2Date: v / f )/( fc;) <br />Address: e 0S(-) 46 -I \ cC5T\ City: glpicAttuti Zip Code: cjçocT <br />Owner/Operator: \I wiclut,o I Telephone: e3 .... 9)W.) 9_ <br />Program Element: \ (40-- A-A Program Record: Tp... bs-5,1_ciq 1 Inspection Type: 11 <br />SB180 Posted 71'4 U Rermit Posted ties D i Re-Inspection on or After: — <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />um n y (0- 11 Sr• Ft-cA3uck-- lb r)-Of or <br />Y- ar-- to Icsup..- ,e,cfn ‘ A- izir- 2011- - <br />c‘ , eAri C , CA nd, c-ocx), )6t 'I ( c., <br />e perature emperature <br />1 ac* ' t Water Temperature <br />Name: Rif-1\4 a Ct Ha Si : <br />k CC' <br />.F <br />Warewashing <br />Heat: . <br />0 <br />Chlorine: _rfr ‘ict ‘ ppm <br />Exp. Date: '.)) 7 i I C° <br />)r ashing Sink: ; C .F IQuat. Amm.: ppm Other: <br />Received By / Title: , / EH Specialist: / <br />A <br />a _ „rall A, Phone: ')-oa ei.--iet 4---& 14 * . A • i Itil..2. V.... <br />Time in: 1-7,-. (0 0 Time Out: <br />Al's-1)0 <br />Page fof ( <br />EHD 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION