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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> . y Y �;;P• Telephone:(209) 4fi8-3420 Fax:(209) 464-0138 Web:www.sagov.org/ehd <br /> qLf 6 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 7—/Y-I/ <br /> Address: <br /> —/Ct/- <br /> Address: 'z 30 �¢CrT7EM�N City: r Zip Code: 17�o <br /> yn <br /> Owner/Operator: J C '/�^ r Telephone: 4 <br /> Program Element: ! Program Record: Inspection Type:670M"/NT <br /> SB180 Posted pCYes 0 No Permit Posted XYes ❑ No Re-Inspection on or After: <br /> M�f1BSE WA'FI6hs "h66C0RRECTIIIE I.NS <br /> - _ . <br /> _6M jA, k'5 A_)#1Z_e 47`144<f 60 J 7W'!5InvevK.- -12-11 (*';Ai r419tAl aA.IT 15�ejkJ i4 <br /> 44,41 9— <br /> GR c r !�P t*W4'r F� <br /> 1.CCi9 5"r ca sE s Rru GQ r 54PRs2 ic,(� <br /> IW Su P6Rr bgkirz i(!C)X,Aa -. T&gr- niS <br /> ( fL,l 1S tRE�vA o ry PtGw T� �7" baa TRa L <br /> 2 l�C`ST &MAess Snlz7otu 0b 5rVK1 N ZfNE <br /> �A! S FR/t. <br /> TDrr�P ► <br /> ] <br /> 1kem7L tcon g Temperatures item,lacatinn, 9Te(mperature _ Item/C ocation �.:-= Tem perakure` <br /> - k <br /> Name: m iyL � Hand Sink: '17Chlorine: ppm Heat: 'F <br /> Exp.Date: z�7r2 arewashi ink: aF Quat.Amm.: ppm Other: °F <br /> Received By/Title: JJ <br /> EH Specialist: Phone: <br /> !me in:Ir/" Time Out: f Page of <br /> EHD 16-24 (2" pg) 11!2!09 FOOD PROGRAM OIR CONTINUATION <br />