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`�'" SAN JOAQUIN COUNTY <br /> xENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.orlehd <br /> {r is d•R�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 42 or Date: a � <br /> Address: ,, / City: Zip Code: E� <br /> Owner/Operator: W ' ` C Telephone: — / <br /> Program Element: Program Record:c�i. C4. 30 <br /> 77 Inspection Type: <br /> IS 8180 Posted ❑Yes n No. Permit Posted ❑Yes 11 No Re-Inspection on or After: <br /> " _• J ,..... ..>.> .,_.... :^ :.. ..�id�.,-........ �i��iGR3:�- 1��.� .>% �`�aL£.4."..k._1��Y� - �q A..� �#��:� � ...€:'.,� <br /> d � <br /> L <br /> c <br /> to <br /> i <br /> i <br /> f <^e.d.f :� ..a:: ....»..-.r :i�•a`.,y ..�.y#�4L:.- ..;y...> �:tC g,. e «..N..>.y.. ..e..nF-'Rd <br /> •qa...Nim � «.- m <br /> �v <br /> I <br /> a <br /> F.e.... �a��rK�ei3lf�r_�.,'::t?`s�• � �ifiitY:.�. 1���-�' ••��l��r�.`tfk� � #_, :; <br /> Name:-� m Hand Sink: `F Chlorine: ppm Heat: OF <br /> E=xp.Date: arewashing Sink: "F uat.Amm.: ppm ther: OF <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: r 6 Page of <br /> EHD 16-23 (21'pg) 111060 FOOD OIR CONTINUATION <br />