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SAN JOAQUIN COLO' <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.slqov.orQ/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: , 4nn S 17-C4,1k' 1Yazk Date: ' I - t EV _ --/1 _ials <br />Address: ‘,.5-s•-•0 /0 . Lo coin "41 City: cFacA j <br />pill._ <br />Zip Code: el s-7 0 s.- <br />Owner/Operator: Telephone:1? )5-3 O -210t, <br />Program Element: Program Record: rk 057I 2 3 / / Inspection Type: <br />SB180 Posted ys No Permit Posted Yes No ) Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />cAnletio (21Z <br />tf S '20 V- ?I'd-Li 5 <br />Lei <br />001- c A aile"ilakrit,t Lu c a deflate._ aavvivt..,..._ 'v' to „Ac.te_f_f. eo t3 I rip tyi <br />4614, li / F <br />ID PvgAdc..9 (P6-6,-- --F <br />Proval cta•oe-mt "Lav, s,,„de <br />4: ;4444,41 g 420 'Ova/el- C )--`2.114€540crie.., .(--elad azarnak i . chos ;..4 <br />i 5 5 (.4...c._ fa, /--- / Dv% ct_ / c 1e2 <br />ff,94V/ ' <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine: pp m Heat: . <br />Exp. Date: arewashing Sink: . ()oat. Amm.: ppm Other: . <br />Received By / Title: ek... yuc40 1 -1- Phone: q 4 IC3 . .6 9 3 EH Specialist: <br />Time in: <br />/0 / 4 COfrt <br />Time U. <br />ii <br />Page of <br />RH <br />..2 <br />END 16-24 (2,4 pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINUATION