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IP <br /> SAN JOAQUIN COUNTY" <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209) 464-0138 Web:wwwsigoy.org/ehd <br /> Name of Facility <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> : <br /> 4 Date: <br /> ddress: -7�"as <br /> rt / r—. City: 15 G Zip Code: <br /> wneduperator: US gS21 <br /> a CL, Telephone: <br /> Program Element: IV•'3 �� program Recortl: <br /> �/� Inspection Type: �0-?0 <br /> S6180 Posted �l'es ❑ No Permit Posted Yes []NO <br /> Re-Inspection on or After: <br /> r0 V1 y IVh ` <br /> 4 5 +'b M VM -0l % cP �A G" <br /> Q S r q 4OA— <br /> AC <br /> i-e-res q1k C,v <br /> ,5qN' Tsar �.�-1�.��" – 4.1 Q 0 n(7M A- -- <br /> McJFc,o L,3 rmer _ Q,rr%4o F <br /> /4e <br /> a <br /> CookeZ ('4"C lvs 190"F <br /> r.P.e: Hand Sink: rQ0,.r 'F Chlorine: PPM Heat: 'F <br /> _Date: — _ I arewashing Sink: aF Ouat.Amm.: PPM Other: `F <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> Time Out: l l, Page�5 <br /> EHD 16-24(2n°pg) 4313 / FOOD PROGRAM OIR CONTINUATION <br />