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• <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ( ow( 111 NOUdt Ce <br />Date: In p_t_f, <br />Address: ...2.0 WI NW\ \\J City: <br />S <br />Zip Code: <br />Sj-C) S <br />Owner/Operator:OLVEA <br />Telephone: <br />Program Element: P o am Record: c_3-'6e11 Inspection Type: &IA\ <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Ak-OCOUN_ 9 - 14. # V'. -4 op. 1,0 /, , • 014_ 'FLAW <br />p&trAmA.4- <br />i)A7\-vir\2_ 1 nwe'oh o (10 (nAIDY VI 01411 rnc <br />110 t(1eini9eM1 01. <br />Item/Location Temperature Item / Location j Temperature <br />Food Safety <br />Name: <br />Certification Facility Hot Water Temperature Warewashing <br />Hand Sink: oF Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: . Quat. Amm.:°F ppm Other: <br />Received By / Title:le / <br />EH Specialist: (LA AKIX2- Phone: ?DI tp.[--0-A440 <br />une in: ,.....1 _ r , 11/ <br />Time Out: 1., 5-i) il 0,1 Page 1 of 1 <br />EHD 16-24 (2'd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION