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SAN JOAQUIN COUK,/ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .: Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.smgov.orglehd <br /> 'QCjFp'{�tl <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ; ; Date: <br /> Address: 12� City: Zip Code: <br /> wnerlOperator: Telephone: 8Z�1 <br /> oos <br /> Program Element: 1 .� C <br /> Program Record: 2-7 2` Do Inspection Type: C3 <br /> 8180 Posted 1 C Yes 11 Hermit Posted �7 ❑Yess ❑ I Re-inspection on or After: Z� <br /> S AM 0010WOUVE ACTIGNS <br /> MAO <br /> 70E:1 Ao �n <br /> . - <br /> r\o <br /> c�,rza� r� -c,( y�•--z-c Ck . <br /> C, <br /> Le -- <br /> �e � <br /> ltILo�t}on ' Ter�raf ; � �� ! Temper�ere <br /> Food S# :�ertft"Tc9bipn � leo Metas r tr .. # w iat <br /> Name: Hand Sink: eFchlorine- Ppm Heat: of <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm they: of <br /> Received By/Title: <br /> EH Specialist: Phone: 68 <br /> _O <br /> Time in: `0. +5 Time Out: 1• <A C,-(-I\ <br /> Page3of <br /> EHO 16-24 (211 pg) 413113 FOOD PROGRAM OIR CONTINJATIDN <br />