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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPOR <br />Name of Facility: 0 k A4 ill) i:14 (f& <br />Date: I* <br />ddress: L c--.7 5 City: ---Li -,09-0\.), Zip Code: <br />Owner/Operator: 1 j Telephone: <br />Program Element: Program R cord: <br />T2— <br />Inspection Type: <br />11 <br />SB180 Posted Permit Posted Ye No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />W M VWCAM, nu viA,60100-ric AceAp_a_, <br />l'ul la- Mcoec,,h on, <br />oKfu 15w 7-07-s wee pev--04/64---r-r-e- 1)-e-(2-roit7i-- <br />r-,---- 12 _( <br />17,efLkIY1S <br />Temperature lir Item / LocatiO Temperature _ <br />Food Safety CertiticatioI3 Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine: ppm Heat: °F <br />Quat. Amm.: ppm Other: . Exp. Date: Warewashing Sink: °F <br />ci N Received By / Title: x ricii, e.,-45.)ti Carl <br />EH Specialist: Phone: Dvi blip...._04.4,, <br />Time in: Time Out: Paget of I <br />EHD 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR <br />Pk OS 3c-2