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k _ <br /> SAN JOAQUIN COU <br /> y+ 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 /> Li it iiR <br /> k <br /> t FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U e I'k Cn Date: 5.-1- —15 <br /> Address: I2�q {� r, City: •„^ Zip Code: q ts�3� <br /> Owner/Operator:--r\,,,CC, \ Telephone: 21?2y <br /> t <br /> Program Element bey Program Record: �--7 - �O Inspection Type: C <br /> LIBLOPsted 0 Yes 0 Rermit Posted ❑Yes ❑ I Re-Inspection on or After: <br /> c Tv <br /> »....6- <br /> ., <br /> I et lr1 ,.1�c i <br /> :. 2- <br /> c' <br /> a 2 eft ru \(Z sh <br /> eA <br /> 1 c d r; <br /> �) <br /> cv� C t O <br /> 1 <br /> i <br /> V.7 <br /> 2 YqF bv_� A--3 Ccz All 1:T!- <br /> diy <br /> b -Q <br /> S5 fz- <br /> c1. `1 X11 r� z`� <br /> Name: Hand Sink: of hlorin : l,��^e, ppm Heat: of <br />' Exp.Date: Warewashing Sink: of Quat.Amm.: VV �� ppm ther: of <br /> Received By 1 Title: <br /> 1. <br /> EH Specialist: Phone: <br /> mein: 1 Time Out: „ Page�f Y <br />{ EHD 1624 (2-pg) 413113 FOOD PROGRAM OIR CONTINUATION <br /> i <br />