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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> • <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.sjgov.org/ehd <br /> �iFoa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (7kW <br /> Date: ! <br /> Address: 4;p !7 City: /,�, Zip Code: <br /> Ykl <br /> Owner/Operator: kff(/ !� Telephone: -73 --1 I <br /> Program Element: Program Record: 0 Inspection Type: Gu <br /> SB180 Posted Yes ❑ No Permit Posted Yes ❑ No Re-Inspection on or After: <br /> QBSERVATIO�lS AND CORRECTIVE ACTIOI�i <br /> . <br /> 1 "I yic (x C/ r VL uhr <br /> VW_Par_s�vd to <br /> Ills rye ro r�e <br /> 3 t Ott f <br /> KW-4- pxtf <br /> a k Cev <br /> I�YI Gf a Gr >re rli <br /> WI s <br /> �J ,( <br /> vVLC ✓ <br /> i /f(0t-- l� K�Lv,— !r, GTI v <br /> ML r f �. <br /> 0 <br /> G v��-- 1- <br /> n <br /> Name: Hand Sink: �� of Chlorine: ppm Heat: J.FExp.Date: arewashing Sink: of Qu t.Amm.: ppm Other: <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page o <br /> EHD 16-24 (211 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />