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Pa" " SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • �q., m.a�P• Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sagov.org/ehd <br /> �rFda <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: le1107— Date: /O-2 9,o g. <br /> Address: � !%r�S City: 1-2 Zip Code: 531 <br /> Owner/Operator: 4 MC lti,I, Telephone:le,-_ <br /> Program Element: /60 / Program Record: S R� O Inspection Type:IS <br /> 8180 Posted 4Yes ❑ No Permit Posted res ❑ No Re-Inspection on or After: J' <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> T1fls c�CE b C<Qtpp"N r c- 6 GV U'aQKr/LG R0 P E Ric 19/u6 Tn,V <br /> R/AP132 <br /> / /M6RE 15 1;Zf Bctt�,Ozt , /#Rvuu,�> 71 �9aVSELi�olv�vEel-�vv r12/G � <br /> 1+0 7-NtS I,IGI DIIF -4 Lvovywer tC_.* PROut De-P, «d <br /> �ANltiG. IiuS <br /> Itern/Locatiort Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: I<Al(?'NA ( (;tS NF,VS Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: /5 K-� arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: C <br /> EH Specialist: I TA hone: Y <br /> im <br /> I e in: d-y� Time Out: Page of <br /> ,_Y r <br /> EHD 1623 (2nd pg) 07/29/09 FOOD PROGRAM OIR CONTINUATION <br />