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oP"y'1"• c SAN JOAQUIN COU* <br /> ?; ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sagoy.or0/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (Am` M f Date: ` 2- <br /> Address: /LA9b . \r4 IUB City: S ((: n Zip Code: f' �� <br /> Owner/Operator: VAQm it �o Telephone: 4(04-- <br /> _(0 4 cit /_ <br /> Program Element: 1 IQ, Program Reeord: �O rj�l j. Inspection Type: `lF �Aj^n rl <br /> 8180 Posted 0 Yes o 1„_I Per Posted es ❑ No �J'U Re-Inspection on or After: {' ,`C <br /> V[U OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i N n -f e Sfmx I Vol ADack <br /> GPiv�wtS �nS vt; ate- r\oA- (m �; mn q'ln a < <br /> CM <br /> Item/Location Temperature Item/Location Temperature <br /> qtr <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: `OO 'F ru—atrAmm.: <br /> loine: PPM Heat: "F <br /> Exp.Date: arewashing Sink: -F . PPM ther: "F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> 12-CA- <br /> Time in: 2 : 5Q Time Out: Page of <br /> EHD1624 (2^ pg) 4/313 FOOD PROGRAM OIR CONTINUATION <br /> I <br />