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SAN JOAQUIN COUNTY <br /> ):' -.Nona'.OG <br /> 2� 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.sj- og v.or /ca ehd <br /> ��FpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Oyu— 4z:1 r Y71,0 t7 Date: 9_to _I <br /> Address: 1,601 Lo\ I I 41nCity: Y Zip Code: 9 5 37(D <br /> Owner/Operator: C,0 Telephone: 6 8— 9 <br /> /y <br /> Program Element: !16 a Program Record: p a O 52Co(, r7 Inspection Type: Ci� <br /> 1 ct„h – <br /> 6180 Posted Yes ❑ No Permit Posted Yes ❑ No Re-Inspection on or After: <br /> - <br /> OBSERVATIONS ARID CORRECTIVE AuTlOad <br /> D U/,io <br /> K-CAWLe r 6°F <br /> 2_c140r fyeeZer 0oF <br /> Name: Hand Sink: I vtt7 of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Qu m: ppm Other: of <br /> 7 <br /> Received By/Title: <br /> EH Specialist: 6tA.1 Phone: <br /> ime in: ,� O Time Out: j.:O D Pale ofZ <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />