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ta�'nr SAN JOAQUIN COUI/'r ( <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •o.,- r Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> bw' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ' d d A Date: yr <br /> Address: r f , r City: Zip Code: <br /> Owner]Operratolr: 1.J Telephone: <br /> Program Element: I. 'Program Re : G p !� Inspection Type: 7� A'('V�L <br /> B180 Posted lr ❑Yes ❑ Hermit Posted ❑Yes V'❑ 1 Re-inspection on or After: <br /> ) �R'Y+�i7� �S`rih1J.CiO�I aTlIN. <br /> ::57/7,7w4 a_Q <br /> -Ju 7�& ' G v a�a <br /> c. v <br /> V-C di d <br /> ,V7 <br /> < :I#emfLoca#ion :� Tern drature; <br /> Food afety CertMca€aan <br /> .� �;��_ .�"';`Faejlity�FtotliV�ter�eniperature�.a_ ��'_�c°��� �t� �; Warera9, <br /> Name: Hand Sink: of Chlorine: _ ppm Heat: OF <br /> Exp.Date: Warewashing Sink: of Quat-Amm.: ppm Other: OF <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> Time in: q! Time Out: '- c� Page of <br /> EHE 16-24 (2-pg) 413113 FOOD PROGRAM OIR CONTINUA ION <br /> , r <br />