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I <br /> SAN JOAQUIN COUN' <br /> .Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> - = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4 ........�;�P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> L�FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� �lU Date: _ <br /> Address: 5 7 7q A 105- <br /> O City: S _ /, Zip Code: 52-0 <br /> Owner/Operator: !7 ' U Telephone: <br /> I` OS G �i'7 - S606 <br /> Program Element: ,6ZS Program Record: 46 Inspection Type: Ot�++ <br /> SB180 Posted s No Permit Posted es No Re-Inspection on or After: <br /> r OBSERVATIONS.AND CORRECTIVE ACTIONS; <br /> p?, It -e__ -GLci <br /> �� ✓►1��.�xf 4 $�1�01 u►e� -fv r ae a n 1 �.�. t'en a wa <br /> it83Tt/I�Cat10 -" a�QI11 cltii OCet,ofl x a x Temperature. <br /> r � �`►� 3�" re �'� t ���F-d r-- <br /> Pre - -- +0+ 11 o I A. 14C^5 160-X70 <br /> -.4f jr <br /> t�ofl S0.afetyd-C r� C;tit n) R - Fot�,. <br /> atIe' fmWaewashing : 77-7,77F <br /> Name: Hand Sink: of Chine: Heat: <br /> of <br /> s ppm w' <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm they: of <br /> e � 5-I i 2r.� <br /> Received By/Title: / C_' o-� <br /> EH Specialist: l�, Phone: L 3 L(y-5-- <br /> ime in: i Time Out: ^2 , '3-5- <br /> PageZof? <br /> EHD 16-24 (2n°pg) 4;3113 J C FOOD PROGRAM OR CONTINUATION <br />