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°"'" v SAN JOAQUIN COUNTY %o� <br /> U�6610�t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> '1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sagov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: PAY a' Date; I q <br /> VI <br /> Address: 22- 1 r) 11 '� City: co Zip Code: <br /> T�� <br /> Owner/Operator: N kAz MG rp—t[ Telephone: <br /> Program Element: F'�`! Program Record: Inspection Type: nS�12 l t -� <br /> 6180 Posted ❑Yes © Rermit Posted ❑Yes C' I Re-Inspection on or After; <br /> t& A `''r `E ACTIOW <br /> v i olcc-�-�csrsS ham � P.N Cuff <br /> �oC�arn 'm: '� ire ; ��ia t t;�c+catfian Ts�i'tperatuie <br /> t 9�f- <br /> load S ty:�f eYi�fic tat+„ ► `. 4 WAWr anrashtn <br /> Name: Hand Sink: of Chlorine: ppm Heat: m F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm ther: "F <br /> Received By!Title: <br /> EH Specialist: > Phone: <br /> ime in: i <br /> l Time Out: <br /> Page <br /> EHD 16-24 (2�pg) 413113 FOOD PROGRAM OR CON" ,. <br />