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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c.., a. a Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s6gov.org/ehd <br /> <4iFb.ali <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: M0 Date: 1 Q 2 <br /> Address: ' 1 City: Zip Code: <br /> Owner/Operator: t-i W_Isvo '�u'Q0•R0Strz) Telephone: A I _ (6s <br /> Program Element: 11``II��—''11 vvProgram Record: Inspection Type:'T� (n <br /> S81 80 Posted 0 Yes 0 Rermit Posted 0 Yes 01 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> V r <br /> vs s G1wP s . V\S r\'t0_ Cl wid cm\ <br /> who n <br /> Item/Location Temperature Item I Location I Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: and Sink: F hlorine: Ppm Heat: "F <br /> Exp.Date: arewashing Sink: aF uat Amm.: ppm ther: "F <br /> Received By I Title: V Q Q <br /> t Gryy' <br /> EH Specialist: Phone'COR W G — ? <br /> Time In: 1 ,�/I Time Out: O"(Sc CJ J Page of <br /> EHD 1624 (2-pg) 413/13 V FOOD PROGRAM OIR CONTINUATION <br />