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SAN JOAQUIN COUN , , <br /> .0 <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;. �`P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s*gov.org/ehd <br /> %FpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ri�— Date: t CJ <br /> Address: )-2 4 5, - �-ad a City' S'-�"D Zip Code: <br /> OwnerlOperator: t ;� -(C)f OIL i C) Telephone: _1 <br /> Program Element: !/1(0 [� Program Record: TP-0 <br /> p19 0 ' � Inspection Type: \f <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes 1❑ No =J� Re-Inspection on or After: _ _ <br /> ;ter <br /> OBSERVATIONS AND CORRECTIVE ACT.IO,N <br /> S4e V i o��rve�l esti <br /> cn MQ i- dlS cc � 54"f_ Quao <br /> a S i)Si 1 con-dinar- Un q , <br /> oNw qokun�ariWic-,co 0 ad Q e Scls Teyo <br /> S�vr2 Ghee "F or WOW to dck <br /> esu rescu t-r-um u rb-4 - Sc <br /> \.teS o MS c o <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: a�ewashing Sink: of Quat.Amm..- ppm Other: °F <br /> Received By/Ti <br /> EH Specialist: Phone: , -3446 <br /> Time in: I. Time Out: : G D Page of <br /> EHD 16-24(2"d pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />