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Q�44!h �.• SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s'gov.org/ehd <br /> 4�FOe <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ Date: <br /> �✓��7 _ <br /> Address: / (� 4 City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: & Z Program Record: Inspection Type: <br /> K <br /> SB180 Posted Yes No Permit Postetl Yes ❑ No o` Re-Inspection on or After: <br /> ORRECTIVE AC <br /> D" - n G r 0, a-tx <br /> a // .r ccolr-e 5 - <br /> z <br /> 02 r. Fri d F5 4fi 3' A -&u 4z // <br /> �n.Q c� iecf S <br /> ja-CCs W r - / 30 -13,;Cf <br /> - <br /> saw;, <br /> k caro- I LticF ,- l "F <br /> re- 3r W FyGzci /D� _ r z� <br /> ame: C F(/�'l 1euiri Hand Sink: �4 -F hlorine: � eat: 7-FExp.Date: l7 ilarewashing Sink: of Ouat.Amm.: Of> ppm r: <br /> Received By/Title: -D <br /> H Specialist: Phone: <br /> Time in: Time Out: Page of Z <br /> EHD 16-24 (2-pg) 1/18/12 FOOD PROGRAM OIR CONTINUATION <br />