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SAN JOAQUIN COUNT <br /> z, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4Cl Fo'Rea <br /> �P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: .e ` MCt r�k - Date: <br /> Address: Ci Zi Code: <br /> `t r r�0 ��-Ci1/���.-�-C•t� �'' Zip <br /> Owner/Operator. C Telephone: <br /> Program Element: 11 .T; Program Record: p d �j }�C, -, Inspection Type: t\-( f; <br /> SB180 Posted Yes No Permit Posted F'Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> i1 1P 2 al McA �arInS13 <br /> - - <br /> f,e \NOC-b W CATC }I�I. <br /> 'uz - n0 - L C -r (J}- <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink? of Quat. Amm.: ppm ther: of <br /> Received By/Title: � Q✓ ,F <br /> EH Specialist: Ph6ne: 0 j,.G _ 1 <br /> t rc�7� <br /> Time in: f) �� Time Out: Page. of f <br /> EHD 16-24 (2k pg) 4/3/13 -/ V FOOD PROGRAM OIR CONTINUATION <br />