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SAN JOAQUIN COUN+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.siclov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />- Name of Facility: A.4 Date: SIVS ficc priarec <br />Address: Zip Code: .---- <br />3S-S-4) Ail 1/t/i ( S Cg U ) ' <br />City,540( ic _i__ v q s" ? 0 s <br />wner/Operator: O . ' ea .1(6.5r044 _ Telephone: 3,23 ,-- <br />RO 21 <br />Program Element: /6 Program Record: <br />c q 7- gg Inspection Type: p11,41.414, <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />e.. taklgi_ Ce,--14.(3 10 i_e_, _ 0 t-, s_e_2.0 ,_,, ,,,, 1 <br />rh. i-ett ( e_ c.,c7,,-8, <br />Lo c(-) 3-0 "is: ---> --Kievi t-i9coleo d 0/ i -1 4 F Y A' e - _ <br />p riii \( cA-c:V.fy- lev.t_tec.0 44 a - d - <br />Wre 4 y/7 ' cV e./ o f a va / t / A c_e - Y 0 P (IQ to - _I,/ j . <br />1-1/ S— -R'',0 t,-1 1,444d1,1 2_ c4Aktie 1 Ink is 61.1- atiA., —4=. dsia44 1-6 Igt j <br />(9.42d (c lieAr- sin-ows b - r - 0--ct-&R L-“,tfifi da044 1 k a we-ele <br />w-' °-k c 01-1-e-1 -e--t/ -61 a <br />0 k 119 is s i-Le r1-1-4-i tt ave_ <br />Item/Location Temperature Item / Location Temperature <br />"IVOAL -'6-v• Coo-ell-I 11 2,--- 74e bea pl. /gka..4../._ 44,44_ I <br />4/ b 43,4" A-1 v esq94.7 3E w' 4 f 12.,c 5 tp, ted,-4 <br />Kt, <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: L L ),,‘, lc taatba Lutt,.....e_ Hand Sink: <br />1 -0F Chlorine: , 20_0 ppm Heat: . <br />Exp. Date: <br />() i lgi 70 70 0 Warewashing Sink: I 2,c- .F Quat. Amm.: ppm Other: . <br />Received By! Title: <br />-'(-Ji4 13404 /1/ <br />EH Specialist: Phone: <br />M- X.-1"1-44).-- 2C 1 qc 3 % 9 g , <br />Time in: 1-' Time Out: Page of <br />EHD 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION