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SAN JOAQUIN COL 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: q _1 p <br />r i(pr'-e1.1.0 Date: / i / C <br />Address: City: Zip Code: 3 _co <br />lAi ) lain pPV Sibae-lel'I <br />Owner/Operator: <br />1 <br />oaf a_to I <br />.77 <br />Telephone: 3 <br />61 Program Element: /1(/ ,; Progratn Record: 0 C .-N 91 / Inspection Type: p.714,1-7 <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> <br />BSERV A \1910N AND CORRECTIVE . -,. , <br />if <br />AAL.--- AA ° I Olt‘S v‘4)--tia . <br />is- r 1 1 - ,:9 - -4 . _ 1 - ,i ' <br />, <br />Item/Location ,,z- .. j Temperature - — - Item / Location " Temperature <br />Vli tit' (A,I -"\ (, il LA L t Yr1-€A I 1 i 1.- <br />Food Safety Certification Facility Hot Water Tern • - rature: Waievvashing <br /> )e , j , ,44,4,,_, Name: --.77 17 Hand Sink: <br />i .F Chlorine: ppm Heat: . <br />Exp. Date: )) <br />/ Warewashing Si <br />/ i 0 <br />. Quat. Amm.: ppm Other: . <br />Received By / Tit <br />EH Specialist: <br />S <br />Phone: <br />/ A <br />c- <br />1 <br />Time in: of , LH Time Out: <br />° k. (1 <br />Page-ef, L <br />END 16-24 (20, pg. ) 4/3/13 FOOD PROGRAM OIR CONTINUATION