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at,A4!!fY, o <br />r.` <br />�IFOk� <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.silov.oro/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />MN <br />11l <br />Date: ` L <br />Address: IU <br />Vv, /1 <br />V V <br />a I� City: � 71 <br />n 1 <br />V <br />Zip Code: <br />caner/Operator: <br />AM <br />I I- <br />Telephone: <br />Program Element: <br />' (P <br />2.0 <br />Pr ram Record: P O 51 - (0 �4q <br />Inspection Type: <br />Sal 80 Posted <br />es No <br />Permit Posted Yes No Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />IML <br />!�/ <br />0 <br />l// O <br />ov. 0111 <br />Item/Location <br />mperature Iten ` - <br />ne`r(Tempe <br />'_ Food_ Safety Certification Facility Hot Water Temperature <br />Warewashing <br />_ <br />rxp. <br />Hand Sink: �F <br />Chlorine: <br />uat. Amm.: <br />PPM <br />PPM <br />Heat: <br />Other: <br />`F <br />"F <br />ate: are shin nk: F <br />By / Title: <br />[eceived <br />Specialist:RIA <br />Phone:me <br />in: <br />t/Y� Time Out: <br />r <br />PagdTof7 <br />EHD 16-24 (200 pg) 4PS13 FOOD PROGRAM OIR CONTINUATION <br />1 <br />