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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ..cR ..a ;a`P.. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> LlFOA <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: rA C .IfJ f P 1Q2 U Date: r � b <br /> Address: y A I a C e City: Tr a C Zip Code: <br /> OwnerlOperator: 1� Telephone: <br /> Program Element: Program Record: Inspection Type: .t1 <br /> uIs L <br /> 8180 Posted ❑Yes E Rermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> }(Ai n U 4P <br /> Cd10aryl S__ tem ( led One- ho -d ---5. nK ; n _ h'ISn'� f'bo�1 ►1a� �u�clitn � <br /> ax 00 . t i e ' #i?r Te peratw <br /> Fi Tom 119uirlrfFtt <br /> Name: Sink: ' v6- 'F Chlorine: ppm Heat: of <br /> Exp.Date: Sink: 1 U of Quat.Amm.: ppm ther: of <br /> Received By l Title: <br /> EH Specialist: hone: 7/g <br /> ime in: y Time Out: fl 1 S Page of <br /> LHD 16-24 (710 pg) 4013 FOOD PROGRAM OiR CONTINUATION <br />