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SAN JOAQUIN CG._ .TY <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone.(209)468-3420 Fax:(209) 464-0138 Web:www.sigoy.orq/ehd <br /> �lFd{ft� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: M $ Date: f� <br /> ddress: City: 5-1- Zip Code: <br /> Telephone: <br /> Owner/Operator: <br /> Program Element: Program Record: b L:z (t Inspection Type: d <br /> S8180 Posted Yes No Permit Posted Yes No :l Re-Inspection on or After: <br /> I <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ^ _+ S <br /> I6 1r YJ <br /> o <br /> �1 z I o <br /> pr�J O n o y <br /> LL 2 <br /> a1— /D U <br /> -T <br /> IVk <br /> �- <br /> D it Temperature Item/Location Temperature <br /> ceJ' 91'etwa <br /> zi ;_ Cr¢ 5-7etrAt <br /> nh 5a <br /> Ila <br /> Food Safel Certification Facility Hot Water Temperature Warewashing _ <br /> Name: Q. r; Hand Sink: $ 'F hlorine: O ppm Heat: J'FExp.Date: -y arewashing Sink: Q eF uat.Amm.: PPm ther: <br /> Received By/Titlp< '7 (J <br /> EH Specialist: Phone: W, <br /> - oac3 V F — <br /> ime in: Time Out: Page of <br /> EMD 16-24 (2n°pg) 4W3 FOOD PROGRAM OR CONTINUATION <br />