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SAN JOAQUIN COUN. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q <br /> a :< <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> °;' ..... ..Ncp Telephone:(209) 468-3420 Fax.,(209)464-0138 Web:www.siclov.org/ehd <br /> �I FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Nameof Facility: f Date: 0?- <br /> Address: C2 YO e City: Zip Code: el s-3 31- <br /> caner/Operator: �. <br /> Telephonei9n - Q9 -O%/O <br /> Program Element: ` 0 / Pr gram Record: p 6�•6�- Inspection Type: r-.N Q �n S L <br /> B180 Posted KYes Ll No Permit Posted KYes - No Re-Inspection on or After:T' <br /> D CORRECTIVE ACTIO <br /> I IF z ur <br /> nsrn AA <br /> ( <br /> l�ti+ (�fC Freez en vuz,l S C.O.l code <br /> JL <br /> rp Lt e O'er C G vt to <br /> AW <br /> pera <br /> 0_7a lk-'11C <br /> Name: LC and Sink: / of hlorine: PPM eat: `F <br /> Exp.Date: arewashing Sink: eF uat.Amm.: PPM ther: "F <br /> Received By/Title:h S,/ /w'-<C <br /> H Speciallst: Phone: <br /> ime in: D OOH Time llut: Page of / <br /> EHD 1624 (2-pg) 11/2/W -- FOOD PROGRAM OIR CONTINUATION <br />