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SAN JOAQUIN COUN1 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siqov.orq/ehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Malt-1SC_ 05 iti 0 7,4 1 Ce on Date: i 1 _ <br />ddress: 3 01 S , So,c e--awiebt 4c, S4--- City: 1._ Zip Code: el 52.ifo <br />Owner/Operator: Telephone: CV 0 A 2--c, te2- i ILI 0 I ' <br />Program Srizerft!: os 2. ) vos-- Program:T=1:r , 163 ) Inspection Type: R 01/4_0r, <br />SB180 Posted es No Permit Posted No Re-Inspection on or After: <br />/3 0 VCol ct4--ioti 5 <br />il 0 C°D i <br />\ k S'eCk--c7 ci C,C,44-,ci lel / '' ri4-0 el P ( C--P- / Ct-c / d i fir .. <br />_ <br />4 Se+ .,,:ir- Sctn r 4-1 -Lep— c,Dil ef-Ck <br />1 -c. c(0-1 1-e e-S ;vie e" r kA)( p t ki_.5 C <br />l..-, 4 e.._ eb ppra1z...9 - <br />OK .-cs) (55 W2 p - e rviit+- Cor - 2o 2_0 on c_sz Pee S , <br />&r -V_ l'e).'-, <br />Temperature <br />3 Do c. r•-• pl-rel re <br />Food Safety Certification Facility Hot Water Temperature ' Warewashing <br />Name: <br />H, 0 / Se5 Goviz_Q ft-. z___ Hand Sink: / Co .F Chlorine: -) PPm Heat: °F <br />Exp. Date: I I - iq -2 2-- Warewashing Sink: 1 2:0 .F Quat. Amm.: ppm Other: °F <br />Received By / Title: <br />9C-t'r) ('' 0 VI "314.7. EH Specialist: <br /> <br /> Phone: 2_09 tiv.6 -3406 Aj cen, <br />Time in: 9 ,. is-- Time Out: 9 ,i 41.5--- Page /of/ <br />EHD 16-24 (2' pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION