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a°`n•. SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />t 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />.., p.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.oro/ehd <br />'rr-IFdPa <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: M Iq c, /A S toaup I Ice iq k 75 .J <br />5rAqlo5 Date: 0 1 <br />— Z 2. <br />Address: 2. 3'' EL bQR �—� City <br />$TpC O Zip Code: 9 <br />�a <br />Owner/Operator: AlAG I A A <br />Telephone: <br />Program Element:lie Program Record.'~505 ?o � <br />P Sp In 'on Type: AUT/^% <br />SB18G Posted ❑ Yes ❑ No Permit Posted Yes - No <br />Re -Inspection on or After: <br />JW7 h, <br />giv 0 -PC'-• <br />,'SSUE Z <br />"' NSE <br />4 . /N RePo 2.T wP45 <br />VR/ I-AOt'e- <br />b <br />01Z A To ISS 4 E Zo Z 3 P'W- M <br />J4-- C6 <br />Is 17 <br />Item/Location <br />Temperature <br />Item Y Location <br />).Temperature <br />r jj�'_src j b`j&p!tification Facility Hot Water Temperature <br />``Warewashing <br />Name: Hand Sink: <br />aFChlorine: <br />Ppm <br />I <br />Heat: <br />-F <br />Exp. Date: arewashing Sink: <br />eF <br />Ouat. Amm.: Ppm <br />(Other: <br />'F <br />Received By /Title: /+ " <br />EHSpecialist: C� )1�.. �(,`�p <br />Phone: �p ASO sCa <br />Time in: DC) <br />Time Out: 9:a 5 <br />Page/ of <br />EHD 1624 (20 pg) 4/3/13 <br />FOOD PROGRAM OIR CONTINUATION <br />.v1 <br />