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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 />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: A2( I (,) r.o0K-ce S <br />Date: I li 1 0'2 il <br />Address: 'S-.5 VIII i r<IX) \iNia City: ci-Dc-vai Zip Code: 4 ca <br />Owner/Opera ,.. 0 1 0 <br />0 -Ot0 <br />Telephone: <br />Program E l ement: i _ Program cord: 5 upp . 12- D s <br />Inspection Type: A 0 ... <br />SE1180 Posted Yes Permit Posted No Re-Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />Whae Proolut u6 <br />40-1,ke Inc/9e atm , no v befiiLuolls 49s5w)to <br />(Aa 1) P--inwc)--Loyi <br />Pf---_ --1- -I) [ wAt T1-oc FeriAak)— on LQ-- <br />riArAA-- c-c,e (c ptA, <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Alli Warewashing <br />Name: ) <br />Hand Sink: o F Chlorine: ppm Heat: . <br />Exp. Date: <br />P <br />Warewashing Sink: c F Quat. Amm.:PPm Other: <br />Received By / Title: <br />EH Specialist: /Ui Pj(aka.-- Phone: rkei 10 1140.:; 0 00 <br />Time in: Time Out:j Page /of i <br />__. <br />EHD 16-24 (2nd pg) 4/3/13 <br />Pkost-1130,--1