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SAN JOAQUIN COUNTY <br /> r: ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . _ �a• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sffi oq v.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: �-A , <br /> Address: i \25z�s 1 City: t n Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 1 y 0 9_S Program Record: S�` 3" ro Inspection Type: <br /> B180 posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> MBS611MAWNS AND CORRE <br /> -�v - C 1 C <br /> ly <br /> � �31 <br /> 1= '�` nor �=` ` <br /> ene <br /> - 1 �7 <br /> b \ O'Z5 00 <br /> tetNLocatl Temperature item!Location Temperature <br /> IA 2 f' - - <br /> Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: `F hlorine: ppm :Meat: `F <br /> Exp. bate: arewashing Sink: F Quat.Amm.: ppm they: of <br /> Received By 1 Title: <br /> EH Specialis Phone: <br /> Time in: Time Out: page:t <br /> EHD 16-24 (214 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />