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°°`''" SAN .IOAQUIN COUNT Y <br /> �o. .CGG <br /> Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> -= 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Cq .... ;P Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: M S Date: 6 v <br /> Address: G ; City: zip Code: 10 <br /> / <br /> Owner/Operator: Telephone: <br /> Program Element: � r Program Record: moyro0 Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> AYE <br /> s _ _ _ <br /> OBSERVATIONS AND- <br /> CORRECTIVE ACTIONS <br /> Ij <br /> VIA <br /> w�nA- � 1`1�GIH <br /> ti <br /> WK •w i` G <br /> lw - (U <br /> Lit .1,1n W W _ N <br /> ape <br /> �u <br /> JLS F�J ' <br /> v — o . <br /> cki__Vv_�s _ <br /> a4 cue c <br /> �- _- ��ein�L-oca�on �_� � = Temperature � __ lteml.Location - � �` �Tempera'-ture- <br /> -As <br /> _Dfld - ----- <br /> Name: Hand Sink. of Chlorine: �ppm Heat: of <br /> Exp.Date: m Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2°d pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />