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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov,org/ehd <br /> ciFORa _ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: // .�� <br /> LL� Q/1� CSC Date: _Z —1 <br /> Address: City: Zip Code: <br /> OwnerlOperator: }_ Telephone: tD 3_7-6n3 <br /> `] �' <br /> Program Element: _ ragram Record: 1+ inspection Type: '12-oc.)-t <br /> Lzg- <br /> B180 Posted Yes ❑ Rermit Posted „ Yes ❑ 1 Re-Inspection on or After: 1 <br /> OR ON; <br /> Vko _ no z y1 <br /> ar <br /> �c c..fot-br' �{ 5-[� rnp r Sert�c-e_ G ►� <br /> 1 r r , 1`?T O tri <br /> 1 ]" In -atom <br /> nr, h ,e utile- � <br /> t=ac�r�hr �Tomfwr t > <br /> Name: r + 1` Hand Sink: I i of Chlorine: ppm Heat: of <br /> Exp.Date: I � �1 1, `fes arewashing Sink: tf of Quat.Amm.: .'L� ppm the-: of <br /> Received By 1 Title: I 1 I <br /> EH Specialist: l Phone: �f <br /> ime in: cl. 10 <br /> Time Out: to 'OC) <br /> b Page'Z°f 2 <br /> EHD 16-24 (2n1 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />