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SAN JOAQUIN COUNTY <br /> Z< 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 677a T_�nf) Date: <br /> Address: City: Zip Code: <br /> S. v I +� 5 � r,CS� 7 <br /> Owner/Operator: f� Telephone: <br /> Htn r-•l TU�J � �3.5• / 3/1 <br /> Program Element: } Z Program Record: ' Inspection Type: <br /> 8180 Posted 1 ❑Yes ❑ IRermit Posted C Yes El Re-Inspection on or After: F <br /> low <br /> -ACMNS <br /> .SdrrY1 r! Orli Q1 tj Cr_rr{+ch-aO eX[ <br /> f01A 4 0c <br /> A SA <br /> J1 .5 E)i9r3 . Proadf <br /> - I _v q-d <br /> Orr e c J - <br /> ticut Temperature <br /> I <br /> F I Warewashing <br /> Name: Hand Sink: "F Chlorine: ppm Heat: `F <br /> Exp.Date." arewashing Sink: 'F Quat.Amm.: ppm their: 'F <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in: <br /> - - Time Out: `y 1f3� z Page of <br /> EHD 16-24 (2N pg) 0113 FOOD PROGRAM OIR CONTINUATION <br />