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_ a41r SAN JOAQUIN COL' 'Y <br /> a `< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sFgov.org/ehd <br /> 4�/abYi�'l <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT (✓har(.t-e_ <br /> Name of Facility: Date: (0 <br /> Address: L+- city: 6+p CK+on Zip Code: <br /> Owner/Operator: w`S 1 _w LS Telephone: q 1 4 �� <br /> Program Element: I `L 4 Program Record: j7p, d t(o og 4(O Inspection Type: r d 1 <br /> 8780 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> MATIONS AN <br /> r <br /> AD CLOO r Ver 14UYI C-00 (-Qv- W 044-1 n - <br /> In 11Y> od cd <br /> OLA n tva 4- o d Ll[T o r <br /> w +- a A ajA -1 i n-u fnorx `-fb r <br /> rrLo YK o--k • 1 <br /> �K i S corr1 i n.c Q- (111� r <br /> -e mo Lao r r <br /> 1 w <br /> d Y` 11 A <br /> ►' W i(.k o KAV- <br /> L Temperature _,, __ _ hemf_Location _.. Temperatu <br /> h tri/ �{ _ <br /> ra 5(o�F <br /> Li - 56 <br /> Warewashing <br /> Name: and Sink: 'F hlorine: PPM Heat: <br /> .,_o6- <br /> xp.Date: arewashing Sink: -F uat.Amm.:7 ft-N A IQ PPM ther: "F <br /> r,me,vn <br /> y/Title• <br /> ist: 22 Phone: — 1? <br /> � <br /> -�L,f-1 Time Out: '��-3 / Page of / <br /> EHD 16-24 (2m pg) VN113V —1 FOOD PROGRAM OIR CONTINUATION <br />