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SAN JOAQUIN Cow <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Haze1ton 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: 0 6\v --4-1- tki _ ---7.-e,c4 %.4 ce ( m 44tk._ „A- De t,k.,,,,-) Date: <br />Address: <br />----1-0 le-A F.; cg 5.t.c.covit Zip Code: <br />Owner/Operator: 5- I .5 I 1:74._ ;-__p; c...... A vQ..... 1249 Telephone: 502_42 - <br />Program Element: / Program Record: ,`"1 Inspection Type: 6„ 00 ( 0 06 3 q 2-e-- rirntip <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />_ <br />OBSERVATIONS D CORRECTIVE ACTIONS,.,. <br />c _as/ # 4 e \ rt 0 if-5 coe-V___ D re_D4 ri, <br />0 vt--t- 1 'kV 0 1 Pr-t--) --t ' 01,0 <br />___16,Aik___ 01 -€. <br />5 -c <br />s 5_0 .c..._ s 0 r:e <br />cea s Q. vt u +-s . 4-5 oot 4 ,,,,i\-‹ a„(c, 40 -ese,—L- -r-,,, C i-242 <br />A kiv -{ - - - $ ft4— (A 'i +Ss) 5 0 1 4 o uvi- /a, icra j24,c(d s <br />44 -Ay V (141 12 Gt.( ii, etSti <br />g .—e(9 d5 <br />lit <br />1 4--, 0„„ -Pr ; "r0 4.)it ks 60 C-441\ <br />--t" PfQ " P el 4 ,p_16e. --CIA-. <br />P4-' rivv%ktf ! , ( a)'yt r't Ss' , <br />Item/Location Temperature Item /Location Temperature , <br />Food Safety Certification .. Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F !Chlorine: ppm Heat: 'F <br />Exp. Date: Warewashing Sink: .F Ouat. Amm.:Other: <br />1 PPm °F <br />Received By / Title: I ' 1 i f`',/ A1/2-1) (u)c- I ) 67o - 6 76' 1 M <br />EH Specialist: -.,Phone: Li, 6 0 0 3‘e-egr O„J___ <br />Time in: Time Out: 1 Z .; I.5 0 ryl Page of <br />1 I 4- 0 evio" <br />END 16-24 (2., pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION