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SAN JOAQUIN COUN . <br /> � •.OG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:wwwJgov.org/ehd <br /> <iFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L MA.Wx ff- 'Z Date: S a-G. <br /> Address: City: Zip Code: <br /> Owner/Operator: J- ,n n btx X '7 Telephone: <br /> Program Element: Program Record: Pg O S q Q c J(, Inspection Type: <br /> 618o Posted Yes ❑ Rermit Posted 1 Yes ❑1 Re-Inspection on or After: <br /> 013SER!A; NS AND CORRECTIVE ACTIONS <br /> F - <br /> 1/k�d o� n2 - ZC <br /> +V <br /> 4 <br /> wv� at KktVA:k1,W14 <br /> ,�%I"�C.�.e,� .{,� . �r��� - ���/�J� � ...�/� vV�A� Q CCe�dt.{.�• ice. Y �r <br /> Item/Location Temperature Item/Location Temperature <br /> , <br /> IF <br /> Food Safety Certification Facility Hot Water Temperature Ware washing, <br /> Name: Hand Sink: ofchlorine: ppm Heat: of <br /> Exp-Date: Warewashing Sink: of uat.Amm.: ppm Other: of <br /> Received By/Title: <_ l <br /> r on <br /> EH Specialist: Phone: J <br /> IW <br /> Time in: }� Time Out: Pager <br /> d <br /> EHD 16-24 (2n'pg) 4/3/13 l/ FOOD PROGRAM OIR CONTINUATION <br />