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SAN JOAQUIN COUNw.1 <br /> z, ENVIRONMENTAL HEALTH DEPARTMENT <br /> W. :i <br /> X868 East Hazelton Avenue, Stockton, CA -6232 <br /> Y. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sI_qov.orj/ehd <br /> �+xoe <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> 1 d 3 2 � b S Date:F <br /> of Facility: o�s: wCity: Zip Code:1�S� V'�'' ` Telephone: �/Operator: G1 a� C r � ' V Z S� S <br /> Inspection Type: <br /> Program Element: , �Q- � Prog am Record: 1 02 <br /> 2Zt7. _Ii <br /> BISO Posted 71 Yes )K,hermit Posted 7,Yes ❑ 1 Re-Inspection on or After: <br /> `1 Y <br /> l 1 <br /> 1, r7\- A, ,S T <br /> u-4� �r�c�('A <br /> 2 <br /> -1, <br /> Cmac- ��? c�-r-:Q _ ,,1 ;'�.......�•- -� �nh,., - <br /> 1 d.` 5-SI` <br /> f"-• ccs 4 q <br /> 2 <br /> CA- <br /> 1 �3.q 214o <br /> IS9 1 bo I� <br /> 15SIP O <br /> cut S sfe k f?aatity ldt tllitef-. t SParsnrain <br /> Name: J�Q ^ Hand Sink: ` -7 0 of hlorine: ppm Heat: of <br /> Exp.Date: S A1\+ + arewashin ink`�J aF uat.Amm.: �� ppm Other: eF <br /> Received By!Title: <br /> EH Specialist: Cy - Phone: -A ��3 <br /> time in: + Time Out: 1 1 x 2 Page f Lf <br /> EHD 16-24 (2^'pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />