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SAN JOAQUIN COL 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.smov.orcilehd <br /> <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: Myht r s ch u az) Cinct qtasi (:-"Ci i Le, Date: I cl i2W) ice, <br />Address: `311 74,p t . .tA CO n .i.- City: <br />QtCa-t-a4 Zip Code: 0 51_0 7_ <br />Owner/Operator: 12- Girn anti Pt cats„k II ç- Telephone: le u (elil o WI — 21 wo <br />Program Elemen0---\ k (0-5)--) Program Reaordz.-----N le? 0 I (do ‘ 42 Inspection Type: Ftm-ii rtz, <br />SB180 Posted / Yes) No Permit Posted Yes ) No Re-Inspection on or After: .- ---- <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />tP Food til ci no w 'c Ca'fli I coke, cut -rawn -el- - C' ickS <br />1 calcd ae 6 on vow t io _ v ro 1 GIL 011 obi-din-et) <br />.v- oVr -1-z) 't su..e. Forcnit fur /oil- of-ker <br />11-112 44..e.s ore, ?GO o . <br />v:e.A1 icuS v.e.cuf ik- k ‘ --- -CA X ) n() I oG 1 C arcAC c 1 <br />Item/Location Temperatwe Item / Location FTemperature <br />Food Safety Certification Facility Hot Water Temperature Warewashing <br />Name: Hand Sink: oF Chlorine: ppm Heat: F <br />Exp. Date: Warewashing Sink: . Quat. Amm.: ppm Other: °F <br />Received By / Title: IP, <br />EH Specialist: olteli) Phone: wq 4c06".„ 3 .4 4 fo Ay Time in: 1/. 2.s 400 Time Out: ii ; 7-r, Page i f <br />FOOD PROGRAM OIR CONTINUATION EHD 16-24 (2'p g) 4/3/13