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°"'" SAN JOAQUIN COUNTY <br /> Q` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.; ;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> �%PORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: / . C' Code: Or b <br /> Owner/Operator: TelephonWpa— <br /> Program Element: / Program Record: p O Q Inspection Type: <br /> SB180 Posted Yes ❑ No Permit Posted _1 Yes ❑ No O Re-Inspection on or After: <br /> OBSERVATIONS ANI CORRECTIVE A <br /> in <br /> o� <br /> 77 <br /> 11 11 1 1 <br /> Name: <br /> GP / Link: of Chlorine: ppm Heat: of <br /> Exp.Date: / ashing Sink: o f Quat.A �p Othe : 'F <br /> Received By/Title <br /> EH Specialist: Phon �('i <br /> Time in: /oI"-3O Time Out: Pa f <br /> EHD 16-24 (2n'pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />