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SAN JOAQUIN COUNT <br /> .y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . e�.. `„a b • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www,s' ov.or /ehd <br /> {rFaR <br /> OFFICIAL INSPECTION REPORT <br /> FOOD PROGRAM O f <br /> Name of Facility: VJ Date: <br /> Address: a M City: �jj Zip Code: <br /> Owner/Operator: Telephone: <br /> z <br /> Program Element: Program Record: o C Inspection Type: �� t <br /> B180 Posted Jl Yes ❑ Permit Posted 0 YYesRe-inspection on or After: <br /> YM- A <br /> Gf ' 1// e <br /> I V <br /> to onel <br /> L- 1 <br /> - 5 res <br /> ^ r <br /> hCx <br /> e- <br /> r a � <br /> tA ,I /5Y L/ . 6-f- <br /> h <br /> /1 0 tt rY_eVCt <br /> � t <br /> r lk c S + F <br /> Zoo /� r � �°L o <br /> mlp7 .......,pm......... <br /> pm d <br /> i y <br /> A — 4-0 �` �. .-----�—�--------------__. —� — _ — <br /> drl �i i 3coo <br /> a <br /> ;>o <br /> Name: +lam v�� Hand Sink: of Chlorine: ppm Heat: aF <br /> Exp.Datel: Qi .� r + arewashing Sink: aF Quat.Amm.: 2-00 ppm Other: of <br /> Received By l Title: �1� �✓ �l p� S `U H M <br /> I <br /> EH Specialist: .�– ^1 Phone: 6S—033j_ f` ! <br /> ime in: 1 1 Time Out: Page of <br /> [HD 165-24 (2ntl pg) 4013 l I FOOD PROGRAM OIR CONTINUATION <br />