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SAN aJOAQUIN COUNT <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.sigov.org/ehd <br /> '(Uccad <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: P Date: 1 <br /> ddress: 2�S City: � Zip Code: Ct 5 2-q O <br /> J TOlephone: <br /> caner/Operator: <br /> Pton <br /> rogram Element: \�` Program Record: Inspection Type: <br /> B780 Posted '_i Yes No Permit Posted Yes - No Re-Inspection on or After: <br /> A. <br /> \ e� \ , I <br /> cat' I "I <br /> R <br /> 3 <br /> Food Safety,,adification Facil`R ehir�rature Warewashing <br /> ame. Hand Sink: `O.7 .F. Chlorine: ppm Heat: of <br /> xp.Date: Warewashing Sink: 1 2� of Quat.Amm.: ppm Other: eF <br /> eceived By/Title: 1 <br /> H Specialist: 1_ Phone: 1-4 b 3 <br /> ime in: y Y Time Out: 12 Page f <br /> EHD 16-24 (20°pg) 4/3'13 FOOD PROGRAM OIR CONTINUATION <br />