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• <br />2: <br />In: IA Mk, cian <br />SAN JOAQUIN COU. <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siciov.orgiehd <br /> <br />--FeeEt-PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: )1/Wye ta jb, Date: <br />Address: ..,/i1 <br />Icb T1 O'WJAdrarkii4- <br />City: Aec, <br />l Zip Code: I? 3 <br />5 , <br />Owner/Operator: Telephone: <br />Program Element: Program Record: Inspection Type/46/02_0 <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After:, <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />,, , -C,,i, , ., i • ," _ 0 accliel /47k067:091") <br />'-)44 - C11 4,- ,,,, ,,,,,,__At ... 0_, <br />, _ "Lc_ 9 ii.„ <br />.." c,:),,, -y,..4,. .4-- I 0 ,20 <br />aht_ <br />/aettiA--. 41,e A-- f tA_44-7 611) /1b2 / 4 ife- )a <br />., od Iri'veal 4/3tOZ,0 Aries, itt <br />LA4A41rw"- <br />fic't't <br />q <br />1.4,• K.-1,473 <br />E-- <br />14 az )24Z <br />_ <br />14,,e1.4 <br />*PI Item/Location Temperature Item / L. - Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: 0 F Chlorine: ppm Heat: °F <br />Exp. Date: arewashing Sink: °F Quat. Amm.: ppm Other: °F <br />Received By / Title: A dr. - <br />feet ( to ZI(Oxec:_r_cf:-. .- EH Specialist: r t 1 <br />Ph011Er <br />II - • <br />.--L- I I Time in: Time Out: Page of / <br />FOOD PROGRAM 021 CONTINUATION EHD 16-24 (2'p g) 11/2/09