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ons"'M• F SAN JOAQUIN CO Ty <br />z• ' ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />••c.., `P. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sogov.org/ehd <br />94FOP� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: i•nr 4w 6 1 j Mola oinA <br />nj Date: _30-I <br />Address: OfL4(P , 4< J + <br />City: Zip Code: 4f5 <br />Owner/Operator: <br />Telephone: 27-7- 1 q-1 <br />Program Element: Program Record: S R oo -1 <br />Inspection Type: C _IJ �lan <br />C... 1 1 <br />SB180 Posted 11 Yes No ❑ Permit Posted Yes ❑ No <br />Reinspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />pL, 1t O �� <br />Ll2 G� Llf L <br />a Gnd Gold a-/-er . <br />"dsi;t-K 4,�Pi e-i4che.-7 <br />nZ54z; l -;-keM -Ivd z <br />1 <br />V a al za <br />" L61,v `F o r <br />l r <br />YQ f/ -•j zo r; rto- a UPL� <br />[V.e l o Wo o s ko r 50 rrJ6 <br />C) <br />Q`/ <br />h2 <br />its <br />M d a <br />t7zp % hood o 5;-t-1' an cis' G r{ stye <br />Item/LocationTemperature <br />_.rl) <br />;:: Item / Location <br />Temperature;; <br />a do oe <br />4/qP7 <br />2,cloop- <br />pap q4� <br />n -%) <br />F <br />r e e- <br />37 <br />dw --- <br />346r <br />a <br />dW Y Co r <br />9777 <br />od Safety Certification Facility Hot Water Temperature Warewashing -. <br />.. <br />__--_- - __- - <br />Name: n , m. J� G'/�� -�� Hand Sink: <br />Vw •J <br />13� of FC 5 J ppm Heat: JF <br />Exp. Date: _ a washin Si <br />-G!� <br />�3 0 ofoat�,.OAJ .: �O PPM Other: <br />Received By / Title: <br />EH Specialist: al^. 4C// �. <br />� <br />Phone: � J!3 --76017ime <br />in: ; N <br />Time Out: 10:10 Page /Of' <br />EHD 16-24 (2w pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />