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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />a <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigov.org/ehd <br />�IFOR� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: M \ <br />Date: ... i �3 <br />Address: 2,0C) <br />k --e City: `r'�G Zip Code: cl S <br />Owner/Operator: <br />Telephone: St O —203 — oo <br />Program Element: Program Record: Inspection Type: <br />6180 Posted Yes No Permit Posted Yes No Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVEACTIONS <br />-� + h e <br />0v QUA F <br />�2d Per <br />� rCA n <br />IF O ,,Dr\ rfW <br />o h r <br />o. 1. '4. <br />1�\\ <br />2 <br />�— <br />�9e el oss%--II <br />C \Q> ',A <br />be o �e <br />\fie <br />e L� <br />1 O <br />cr\ O <br />000 <br />Pe05obZl <br />Item/Locations, <br />_ <br />Item Location, <br />Tempure <br />y Certifie—ion <br />Facility_H_ot Water Temperature Warewas.gIng' <br />lti= <br />Hand Sink: of Chlorine ppm <br />Heat: <br />arewashing Sink: of Quat. Amm.: ppm <br />Other: of <br />Received By I Title: <br />EH Specialist: <br />- Phone: 2C� q— b Z S <br />Time in: 1 <br />Time Out: 1 • 1,^ Page of <br />EHD 16-24 (2b pg) 4/3/13 1 I FOOD PROGRAM OIR CONTINUATION <br />