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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: _ I it- ki, — ' Date: k <br />Address: <br />C91,(0 e. th- 5 . City: giTc/e417-N Zip Code: <br /> <br />Program Element: Program Record: <br />Owner/Operator: -42 <br />De J49 51JC Ca117114 <br />Telephone: <br />pg. <br />i <br />Inspection Type: <br />SB180 Posted Yes Permit Posted Yes o Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />0,/ NO/UAIV( 111 bn e <br />D eock- ssi80 islici, <br />voikotz 00--- biel i4c, Vehve towc-A-tur <br />art)LtiKei phtY -IT tsc-IAIr o-w-ts peVflLd- <br />Icv-9-. ve)1166_ h itA Ea 1-6-11-0/ Au-P- <br />(11—P- .--g", )7D A" -1751/ Ill 19 0-/101 <br />\ROI VvvotkAG-2_ <br />Item/Location It ' Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: o F Chlorine: pp, Heat: °F <br />Ouat. Amm.: ppm Other: °F Exp. Date: Warewashing Sink: oF <br />Received By / Title: <br />EH Specialist: Phone: (44_7 ,1,6 i v_ ...0 <br />ime in: Time Out: Page lo <br />EHD 16-24 (2nd pg) 4/3/13 <br />o9-N13-1-1