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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.siqov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ikii ,_____H -A 1 A s 1 1,, . Date: <br />ddress: z7 s-c uo N.,) ujilt -try.1 u‘ City: sjvc/rAT„,) 8tot_t,,.. <br />Zip Code: . c-- <br />.) <br />Owner/Operator: n rnLiT. Telephone: <br />Program Record: qgiCAP <br />Inspection Type: ,,J, Program Element: ' <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />1, <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Wir igil 0 q n Aillit IlAW _ r...W11111 f,... <br />I/ <br />\-2- . 001AAA,C0a <br />RO-vvh,Yk.1 tin c;-K 0.1 or , ()) nuttgr va-ea:koi-S <br />\l/o EQ,--inwecii-LoYI , <br />CAC fo Iva/4 2,1)2s 9eAv1VA.4---- Oil U2_ re2Out-4--- <br />. <br />-c-ce 1 -19A/Lpi <br />Item/Location Temperature <br />— <br />Food Safety Certification Facility Hot Water Temperature Ikarewashing <br />Name: Hand Sink: .F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: o F Ouat. Amm.: ppm Other: °F <br />Received By / Title: 1 ' , . <br />I_ <br />EH Specialist: Phone: D..vcf _. it, i 6 ..-30 <br />Time in: Time Out: Pawl ofi <br />END 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />