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Q�Ek. SAN JOAQUIN COUNTY <br /> y 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: r L r Date: 7-11 4 <br /> Address: 7 2 ) , 4 i _ City: Tr �\ Zip Code: <br /> •] W L n � <br /> caner/Operator; J} a _rt , I P Telephone: 9S3 o i! <br /> Program Element: !!6� �I R Program Record: S O0 y,v Inspection Type: <br /> 8980 Posted ❑Yes Li Rermit Posted ❑Yes ❑ 1 Re-Inspection on or After: <br /> Pro <br /> v. G t 1.�• h rA , <br /> ,� a'11 s/ r c k G F We �I <br /> �, C _ G ler r'1 r P' S Irc,Cr-r)SV; e r � t.u0 � i PnSPr� 4l. rcw f -- <br /> u <br /> CA 11 ar re rSct e <br /> 0. <br /> itamtLocaffon, `7110. ratt> Item,FL*caWt) Temperature <br /> u r o -o r ) 4 1" TLA f C- f�-dC-Cr rr 4/ I � <br /> Name: Hand Sink: ,UG of hlorine; ppm Heat: of <br /> Exp.Date: arewashing Sink: ZG aF Quat.Amm.: ppm ther: of <br /> Received By 1 Title: l�Q <br /> EH Specialist: Phone: <br /> Time in: 17.Y Time Out: U G t7? Page of <br /> EHD 16-24 (2w pg) 413113 FOOD PROGRAM OIR CONTINUATION <br /> 5 <br />