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ot'A41N' F ,,.we SAN JOAQUIN COUN,d <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c�,(.,,s �M• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U!^ 5 I -T y i p f,5' 4q u rc, 4 Date: V_ {j_/ y <br /> ddress: S7). W.. I/ {ti S+ City. Tf. Zip Code: 953 7r <br /> wner/Operator: rr�� Telephone: <br /> Jo/, �I IG A {� K/S>IcN ron� LLC y �2- 9�ou <br /> Program Element: 161 Program Record: 1 /00 / Inspection Type: �� -.^'F /c 1; <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> RRECTIVE ACTIONS <br /> All I liens CCrZec4e® eYZe l / <br /> J [1i I/�-v fix soc�t to tio14,- CIr,/L t!o01+ti <br /> —iorrf C 4ed <br /> each /U. Ls olliached 4o I- d <br /> Left I fr: run <br /> 04( : } 1 r pdon 1' II AJFOAIO/c4j rcc l <br /> rt 410 _S61 f fl q I f 3-docr Sala ho, <br /> CGndrr ce �eu I 1r Rer,cn-in Chr.ae yL F <br /> fHand <br /> Facility Hot Water.._.. ...„ " " -llYarewashing <br /> eme: _ Sink: _F hlorine: ,.. Heat: _._..___ F <br /> xp.Date: ewashing Sink: of uat.Amm.: PPM 11 <br /> Other: of <br /> Eeceiveditle: " <br /> Phone: /Time Out: b Pa of <br /> EHD 16-24 (2n°pg) 41313 FOOD PROGRAM OR CONTINUATION <br />