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at,5ik!rt, �, SAN JOAQUIN COUNTY.✓ <br /> a' ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �.cq.,... ..�;;a Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sioov.oro/ehd <br /> A�FOe <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: RCIW Date: <br /> ddress: GG� SCA �q Clb: - -I-w Zip Code: 6[ 215 <br /> Owner/Operator. Lt-�f CA—a111f- Telephone: CIO-;5 O3 <br /> Program Element: I U0 Program Record: Inspection Type: VIS' W <br /> 6180 Posted 0 Yes 0 permit Posted ❑Yes ❑1 Re-Inspection on or Aker: <br /> �11t s i S U N eW '�V C11 i tq c U I rzf-►"1 Un <br /> C <br /> S cin. CA-CT" CArd SU61-61- TlbTIW9 <br /> �mm.ed�ckk-1 <br /> Name: and Sink: 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm ther: 'F <br /> I <br /> eceived By I Title. <br /> H Specialist: _ - Phone: _ 6U G TJ <br /> r <br /> Ime In: Time Out: Page of <br /> EHD16-24 (2i0pg) 4013 FOOD PROGRAM OIRCONTINUATION <br />