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Li <br /> pqu�" SAN JOAQUIN COL 'Y / <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> `' •• •.';;P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> L�FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT 3Y.z-E95 <br /> Name of Facility: mclr-erl-a rw Date: -/0-45 <br /> Address: a ` City:_Y M 0 c'-,<-�,7 Zip Code: 95 ZQ k� <br /> Owner/Operator. r /1.O—c5 gr.� 11G r� / 4 GCZr�7 R 6"o r r1 r Teleph <br /> Program Element: I J _ Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND;CORRECTIVE ACTIONS <br /> —.___ ----------- --_ _ _ --------------------------- <br /> ..........--- <br /> - - <br /> -....__........................---.....-..._......... <br /> - -----... <br /> U Zen x a uJ 1:) y A) f+ 3 !o40S c3 <br /> ..._......._.._._._......_...................._-----._.............._...... <br /> __..__._.._._ <br /> 1tem11 ocation - I Temperature` item'/Location ..: Temperature <br /> Food Safety Certification Faculty,Hot Water.Temperature. „. Warewashin <br /> _. g <br /> Name: Hand Sink: F Chlorine: ppm [Heat:ther: <br /> F <br /> Exp.Date: arewashiing Siink: -F Quat.Amm.: ppm aF <br /> Received By/Title: � <br /> �r. Y "/L ) -- <br /> EH Specialist: ` /_ _ Phone: 1L 3 ?4g j? <br /> ime in: ,0 h vel Time Out: J.7�F Q� Pagel of i <br /> EHD 16-24 (2n1 pg) 44/3113 FOOD PROGRAM,OIR CONTINUATION <br />