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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.org/ehd <br />OOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: 1, 1 i re, <br />- 3 14d &tad Date: i ..... 2 _ 211. A <br /> ddress: ,-,- 2 it } ) <br />Oe r/Operator: wn <br />I <br />T-0 cu _ <br />City: <br /> <br />j- — <br />Zip Code: qi-3 3 ‘ <br />)4I "64"-- <br />Telephone: <br />1)(0 2-q-4)"0 <br />Program Element: /6 vg O• Programstora. Inspection Type: q) <br />SB180 Posted Yes No Permit Posted Yes No ----ce „r , ? Re-Inspection on or After: I <br />' t!P OBSERVATIONS AND CORRECTIVE ACTION <br />aztdd /3 1- 9 //- Kitr-ke=0. i\Mi) <br />Wa4e wiu% xi 1,6 46d /ekir et,/- / 0 t- D cAde /2?.? F -0-(- intrye. 0 <br />1?tioe4iy <br />I 30 '-bt.T - - - - anictAkvaxs LoAF__ .--en-ektAA ,ectA6Leic &79 r/Pda e5d <br />L-- <br />k <br />-- <br />-fi 7lao/aj . <br />. <br />n it n -.7 -LAM- I • py-0 vi (7 c 1.1,1."1,1, VattnPt' i 9 001 116kAk• --, art .0- 7 -A , <br />c A i 1, # e,K 1 00 .4, t <br />6 ttrr riL/0 jil _ Fo uh7- Ks_ Gict/ed iiule.J <br />--/-tyLi'Letj 1--eAmA (i - A• p 1 D ' (110L2-61 10 49/1-1 ; . <br />WeariA 4 ellst-tia-A-t— 511,'Io5 om le .51. <br />.„..., <br />v JaAL wets let S I vi fr <br />Temperature Item! Location Temperature <br />(0 <br />III R. to-a <br />i LI 3 <br /> ---71 Food Safety Certification Facility Hot Water Temperature Warewashing <br />Heat: <br />Other: <br />Name: Hand Sink: o F Chlorine:PPm °F <br />Exp. Date: Warewashing Sink: .F Quat. Amm.: ppm °F <br />Received By / Title: <br />EH Specialist: r , Phone: ?e9 ‘ / 1- 3173-2- ii---; <br />Time in: Time Out: Page of <br />EHD 16-24 (2^, pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTINU