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SAN JOAQUIN COU' f <br /> H ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •.• �P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: dA -s Date: <br /> Address: '40 rne~,,14 City: Zip Code: q 620 <br /> Owner/Operator: MarlTelephone: <br /> Program Element: Program Rec d: pp. F;� �—- Inspection Type: <br /> "Posted Yes ❑ Permit Posted C Yes ❑I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 41 <br /> q f r Le, m a 17_s � a 4 <br /> r n <br /> ha <br /> O. tis Lo�cr a,f rna ✓ n -tef <br /> MOLAKI n QL }- rn r A-0 r se rgS <br /> c4 or C-0 o Ce r 4 <br /> C� <br /> LA-<h+ 10,,C-45 e_0V,.P_r . ra V-4 as- b s - <br /> 1a se rvti d ae�-g 0 P1 l C-k r» <br /> Gi 6 hot u ra v-r --,b- 6"l e <br /> -40 0 o d r La-I-ed c; 4-e rns <br /> D' 2e n2OdLiski 0+ Lr-l'-c L&d L-ek-b-g—1 /0 h z CLV'_ <br /> n a s -f Ay 6--y re- !,n -e Let d apla <br /> it2 U) r�2 1 vte 4- . n 641 Z c: <br /> "" JJ "" "� �.(.-gra Y),? <br /> o Y% o -F r� <br /> 0 p/r! a (vu t�Y Kra r� Z.¢_ <br /> Y A)o rms ri-e t d ne <br /> l !� in 6-h-4473 • - <br /> Item/Location Temperature Item 1 Location Temperature <br /> 1a V /u <br /> 97) <br /> 3 cl c o r r-u-L ocr -- <br /> Food Safety Certification Facility Hot Water Temperature Warewashmg <br /> Hand Sink: /1,9 'F chlorine:�•0—�1vappm Heat: of <br /> �- <br /> Exp. Date: _ arewashi Sj r2k of !Quat. Amm.: ppm then: of <br /> Received By I Title: p� cc CC�� <br /> EH Specialist: AM 1•� )_ _ Phone: 1 <br /> 1 $ ' <br /> Time in: 3,.D O0 Time Out: 5 Page,�ofa <br /> EHD 16-24 (211'pg) 413/13 FOOD PROGRAM OR CONTINUATION <br />