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SAN JOAQUIN COU Y <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s*gov.org/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Mram-.-- m`1 V_C_+ Date: 30 a . <br /> Address: 'A LN ,'k-A r cu n Ay City: +_0 C4'_1_bn Zip Code: 016,20Y <br /> Owner/Operator: 611 v r m t- a a Telephone: of $_4 y4 L/ <br /> Program Element: ILO 1'7 Program Record: P Rol <br /> to O Inspection Type: <br /> S131 80 Posted(-Yes o Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i <br /> Z'L <br /> r <br /> - riUjo -Ft _ 4-e r- <br /> rn �V' , <br /> Id jaL <br /> r u/ <br /> S i r i n P-es 4 ra o m . ye s-e— <br /> T� -C �S0q n �`s �.trrr'ts o r < � c.c.s 'd) . <br /> K' air k2�3 h.tni <or <br /> l <br /> WI-)& <br /> Item/Location Temperature Item/Location Temperature <br /> ------ --- _.--............. - -- —.._..._.... ----------- <br /> C'0.0 <br /> -------- __._ -- --..... ..._...._.._.. - <br /> 1 b �r c om �e r LADIC - - - - - <br /> rPrtch hA((A CrtA r -- -- - -'/2- I/ C.r 91 <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Ha Sink: D... of C rine: -- _, ppm H .-..-_- �� °F <br /> rly;6�(Aikjgwe <br /> Exp.Date: Ware ash'n Sink: of dubt.Amm.: ppm the, of <br /> Received By/Title: <br /> EH Specialist: Phone: -� <br /> Time in: Time Out: �Q. Page of <br /> EHD 16.24 (2nd pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />