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SAN JOAQUIN COUNTY <br /> •p o� <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �;..•�a,..•�P. Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sugov.org/ehd <br /> �/FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: •/-1.L Date: <br /> ddress:1 it�7m1��— City: (1 C Zip Code: <br /> Owner/Operator: /q -W <br /> ,/'�`'�/ U Telephone: �Llj <br /> Program Element: �-ll/„ Program Record: f Inspection Type: <br /> SB180 Posted ❑Yes ZI No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTION" <br /> vt S y?evi <br /> JWYQ f0MIK, wig It (10 <br /> 4 Me V1 <br /> r <br /> e: Hand Sink: 'F Chlorine: ppmHeat:Date: arewashing Sink: 'F Quat.Amm.: ppm Other: eF <br /> Received By/Title: <br /> EH Specialist: Phone: �r <br /> Time in: -21>>) Time Out: Page of <br /> EHD 16-24 (2n1 pg) 413/13 �/ FOOD PROGRAM OR CONTINUATION <br />