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SAN JOAQUIN COU'b A <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siQov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1M roria 'm0s Date: -../8_ <br /> ddress: 1 City: L �n Zip Code: X0.7 <br /> caner/Operator: /L� Telephone: q7q—O3 <br /> Program Element: Progra cord: n D O) ) Inspection Type: <br /> B1 B0 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> fE2aw to o li a. + bctcK rn . f7yvr14 r vias <br /> f� tca U <br /> i- qI <br /> t' r ZD aVF CILA <br /> Lj <br /> YC o <br /> G a <br /> -For Mr Oru <br /> Cor <br /> Y <br /> C.n (.e r JfY70r14 <br /> Food Safety Certification I� Facility.Hot Water Temperature�l Warewashing <br /> Name: Hand Sink: .F ;Chlorine: ppm Heat F <br /> Exp.Date: Warewashing Sink `:F 110uat Amm.: ppm i0ther: -- F <br /> eceived By/Title: ,/ D <br /> H Specialist: __ l a, fFa (i ce + Phone: 053—7$ 17 <br /> ime in: i 15 I 2?L Time Out: I , Page ff <br /> EHD 16-24 (2-P9) 4013 FOODPROGRAM OIRCONINUATION <br />