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+" SAN JOAQUIN COLIN <br /> •.OG <br /> H X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1.`G Date: L 17 `S <br /> ddress: p <br /> U ity: Zi Code: <br /> Owner/Operator: e el V &N Telephone: <br /> Program Element: wProgram Record: O � (,YI n O Inspection Type:/1 n, ,zvU� <br /> SB180 Posted o ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> lX/L <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> /(tet'L k C 1/' G1 C C i t c Yvl <br /> oc -►'►'� e wvf' � <br /> S` <br /> l ✓Vt AGO n <br /> WJ— <br /> D yy�cC a e —�vr <br /> 47-a • c ✓ W <br /> hdo (kip C rt m <br /> w - v t <br /> Name. Hand Sink: of Chlorine: ppm at: of <br /> Exp. Date: arewashing Sink: of uat.Amm.: ppmOther: of <br /> Received By/Title: <br /> EH Specialist: Phone: N , <br /> ime in: t Time Out: ldi Page of <br /> EHD 16.24(2nd pg) 4/3113 t FOOD PROGRAM OR CONTINUATION <br />