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4u'"• SAN JOAQUIN COUNTY <br /> ?i ENVIRONMENTAL HEALTH DEPARTMENT <br /> vh :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4.•, `p. Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> 4vde� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: d M-41 Date: <br /> Address: ® ✓ - /a. ��� City: Zip Code: <br /> caner/Operator: . V Telephone: <br /> Program Element: / Program Record: h Inspection Type: <br /> 8180 Posted Yes No Permit Posted Yes No Re-inspection on or After:it a4� 1 115 I Z2 <br /> F, <br /> cAA- <br /> pai — <br /> C ee te, a ante ol ht^ea 3 0 <br /> I rA V - <br /> f ' <br /> rba - 3 F <br /> icah -ehd rt -- 3L-f <br /> C Ic vt - uh <br /> InN vn.1, p i CA rt apt <br /> 1 <br /> 3-TEMP THERMOIASEI+i <br /> yap°F <br /> "aqu re turns 11°C W <br /> black as � I loop <br /> LF <br /> tem—wwrure <br /> is reached yap•F 4 <br /> WC <br /> / h /C Cr — <br /> Drtldv 411 A —119F, <br /> ocaticiA <br /> S l / ii uj- !i walk- - )v-i F <br /> Facility Hot Water Temperature ' warewashing <br /> Name: Hand Sink: of hiorine: Ppm 11 Heat: of <br /> Exp.Date: arewashing Sink: GF Mat.Amm.: ppm ther: 'F <br /> Received By/Title: <br /> EH Specla J L Phone: _f DC <br /> r� <br /> Ime in: f (/ r v a Time Out: 11/'. <br /> �� Page of <br /> EHD 16-24 (2,4 Pg) 4/313 d FOOD PROGRAM OIR CONTINUATION <br />