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SAN JOAQUIN COUNft <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> �iFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: M C� Date: Gf2 \o <br /> Address: `-21 `G C' City: _%rN Zip Code: 0, 7ACK ' <br /> Owner/Operator: Y--W t t/ Telephone: L� <br /> Program Element: � 1 Program Record: 1� 1 t�� Inspection Type: )2c"JhrLe, <br /> B180 Posted Yes F. Permit Posted I� es 1❑t Re-Inspection on or After: _ <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 3 C1 MIS c c'ou.-� CA <br /> ?_()V 'S0,)1 . fi o f <br /> rn 1 �fi. <br /> 3 n� -(C�p ofe, not <br /> S SQuup-el <br /> I <br /> c5n SHS <br /> Cli U(X cw 3CAIr M'w1 - r0vl�,� <br /> _� __.... <br /> hj r b C <br /> ?)Jr 1pekWa <br /> _. <br /> (-ac)ls�R �& <br /> pad Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: <br /> (�G of Chlorine. ppm (Heat: of <br /> Exp.Date- �s arew inof Quat.Amm.: PfNU0 ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: /c7—v f�G <br /> Time in: Time Out: �l TJ Pagezf <br /> EHD 16-24 (2otl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />