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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: Don il 1,kJ Prpftc/Cu ce <br />Date: I I lop \.4 <br />Address: co <br />VM 1 vva <br />City: <br />, <br />(AMit N Zip Code: 1 i ) C <br />Owner/Operator: <br />&Lit C. ci cpbb - S <br />Telephone: <br />Program Element: to Program ecord: R. 0 ' 2 q (i <br />Inspection Type: 12.1d1 <br />SB180 Posted No Permit Posted Yes No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS.11 <br />1ouL2 PrvotucQ. <br />PDA)-aw nu vio1atmc ineatoy) , vvalaR <br />no 0- (114-e c7h,oY) <br />70c etwia- 111- w refirityt-- (A( tu (cSui? p <br />N; (36,ut,t4 <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />0 Name: Hand Sink: ,F Chlorine: ppm Heat: <br />Exp. Date: Warewashing Sink: . Quat. Amm.: ppm Other: 0 <br />Received By / Title: <br />EH Specialist: or/ <br />.f..". <br />Phone: DiTt,—(0 I (0.-- 040 0 <br />Time in: Time Out: Paget of <br />EHD 16-24 (2nd pg) 4/3/13 <br /> FOOD PR RA <br />-ipoosL12s3