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Zip Code: <br />Date: C( 4 1%A cilL;(ei <br />City: <br />Program Record: 10, Lr_,), 76G-- I v-Ne; Program Element: <br />Telephone: rjo 4 _ c <br />Inspection Type: path ru2._ <br />Owner/Operator: <br />Name of Facility: plivik2 yv-ILL1c-c) <br />Address: I 'V 4 0-0 ?1 <br />SB180 Posted 0 Yes r Permit Posted 0 Yes 0 I Re-Inspection on or After: G/1 7 1G--- <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />r-opO - t-o- 201- f--006S ThiA- <br />FkTok-a The. ciwneA hume . 1)1 c ccx)-Ai nu-C <br />r\-CAA C or 1-)P-Oc+1 Le. -1-0 r. onl s,ell prf;pcilLoci <br />OA" cx) 1-1016N,e -(3 <br />CcO'notcSkike -k- un-6 I a ic,17 V-124--CA- Tr e_c1 _ <br />Hand Sink: Chlorine: °F <br />°F Exp. Date: arewashing Sink: .F Quat. Amm.: <br />0 '1 eilc,62/R <br />Received By! Title: \ est'rci -t <br />44(-vIcA`ryp tLh <br />Phone: ?to 3f) <br />Time Out: cc i_o Page of <br />EH Specialist: <br />Time in: q: <br />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.siciov.orgiehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />EHD 16-24 (2", pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION