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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.oralehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: MU g etiVo P121) D C)6' Date: VIOL/ <br />Address: /V (//1--- 5—efiV Li/Ay City: "Atarerie..."trAV Zip Code: <br />S.2, S73 6.0v3-47 <br />Owner/Operator: Telephone: <br />Program Element: / / Program Record: pAez . 5 3e F 7/ 2, Inspection Type: iecpuli we t<3'9 <br />SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />" <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />,i49, ,8 3) rgfre <br />/VD frie A re, g- if i ie, L_A -T I 6 I V ''' ...S <br />Item/Location Temperature Item / Location Temperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: .F Chlorine: ppm Heat: °F <br />Exp. Date: Warewashing Sink: 0 F Quat. Amm.: ppm Other: °F ..--- <br />Received By / Title: <br />EH Specialist: Phone: .._____?,..._.rtc ot.4.4e2e <br />_, <br />Time in: Time Out: Page/Of/ <br />EHD 16-24 (20 pg) 4/3/13 <br /> FOOD PROGRAM OIR CONTII'"