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'%� SAN JOAQUIN COUNT-.,J <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sioov.oro/ehd <br /> q4/i�oa`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ��11 <br /> ame of Facility: Musa- 4n <br /> A, 5-t aschool - Date: Yc is <br /> ddress: 3 y d5 61 v, city: S,41111 Zip Code: gS'206 <br /> wner/Operator: Telephone: <br /> rogram Element: Program Record: Inspection Type: ad <br /> c <br /> 8180 Posted ❑Yes ❑ Remit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> I/ 1S uC Ile J f u 1 - /o <br /> (.Ofr Je <br /> / I(er's ce A pl ' uoJ <br /> );17h4 d / wfov. <br /> 3 Tfaa Ise n ( - an 611a 111- ;n 4rP has <br /> iCe ba; l " ei» a ' r o Wax <br /> 9 01 rwrA : no F ; 5'F' /I/ ;1140;n rt(,; / of <br /> or below Nli Cdr cf foa0.r <br /> Sqn: Peer - -7,00 nfn Nor- Lasee f - 4y,F or Lr,Ye (rn:IC 4SF <br /> TtWAI IS l 1 yl G T,uuse� l7 �% <br /> u.mr. q)"r "rrAer IS7F <br /> L a)< f 1 k� l y'Y111 X Coc 4, 14,5 <br /> F <br /> 11.)u6Y (nt 9S'r' <br /> ame: and Sink: Y 'F hlorine: OU ppm eat: 'F <br /> Ell Ph� 7n 4 v <br /> Xp'Date: 3- I l b arewashing Sink: 12 I F uat.A m.: ppm `F <br /> EeceivedTitle: rr�' d10) <br /> Phone: ,/60 'J/6/Time Out: I: rl z ]Pge]0]f ] <br /> IO.�S3 I <br /> EHD 1624 (2m pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />