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oP41'" SAN JOAQUIN COUN t( <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �a •.. a;P Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sugov.org/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: QeACA Y0+�-t rS Date: j c)_3 I_ I.Z <br /> Address: as Iq I1, , \ v�/1Q rGh c� <br /> Lpi City: 4-oc*— k1 Zip Code: 9 6�'9 <br /> Owner/Operator: Ir' + -+_ _ e__1 Telephone: q 6'7_333 <br /> Program Element: t(0Zt) Program Record: P� � � O-7Inspection Type: F'lrZe� <br /> SB180 Posted es ❑ No Permit Posted kes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -e_ d )o r coo Le r h 5a u:;,,d co c _e)'I h <br /> p k n Vial, ho is r dov `Or o r Lo we r <br /> d1�+ L lac <br /> l LA-''P-e- C4 n LI-)h,: CIL ro b© <br /> 3 n _rcdLA%rz o i- C,i o 3 dr�o r <br /> ct,e_1 - _ex-- <br /> ve'reel CQ rs cz¢_1 Ca r <br /> oLce:)ve rs <br /> © ii w` s t I e + <br /> ze., "(tel 5 h-e1sirs ! — C- <br /> a 4-0 v-e a-c ki ns Q yt '� r <br /> of cvo (o r- <br /> } 6 a r- <br /> r r n 1,ct .-Q- <br /> O&A Y-t flr- 3 doo r coo <br /> Item/Location Temperature Item/Location Temperature 1 Item/Location <br /> � Temperature <br /> �6Lo 6ler.�4 ho F ko d t L+2 r v r Cai 0 c 'F �Oac�r csM ✓� Or <br /> L-)al ea.+5a xt ceL _CuCe (4CI° °r <br /> 600P L54-e I rv1 Toth k Iso F rYleq 4Sa u c_e ''! coe(.e Ir^ Li° <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: ' Y,-!v ve o� Hand Sink: �� �� of C I rine: <br /> e�S�Ci' l� ppm Hat of <br /> be ,V r <br /> Exp.Date: ,/ _ RA ewashin Sink: ! 'F at.Amm.• �ppm O r -W^AQ °F <br /> Received By/Title: <br /> EH Specialist: l,w)G � Phone: IR 5-5- <br /> -7q I, <br /> Time in: I b S Time Out: lob:i 5 o Page XIzz <br /> EHD 16-24 (2n'pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />