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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.• �;P. Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.orq/ehd <br /> �/FOFR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C - ,-au(on Date: � 'LEY <br /> Address: 140 -ya6ktn Wo City: StkA_TD P Zip Code: (5704 <br /> Owner/Operator: ( I Telephone: 4 —690 <br /> Program Element: Program Record: fi IPLO Inspection Type: �� <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> Pr -'aftk'hurvS curCQcAaj- ercfa pt - - <br /> 'z_Ze ad lL 1Fe i m 4e _ Ptlwa s Stye- <br /> m i c,e, ec-4- tea <br /> tb d -J +> rs I a S 1d u y - (,1Wn dS fi oon <br /> R.r0 GK n ' <br /> C*en 'A 34; msst 05 b" <br /> VO\2-WGui' hol d k0 c.' <br /> - .fin� •�. �' t-��,,��� t- : �aU C��r� ;,,� <br /> Feed ch i c.'1'.en 12t, <br /> Saud bay <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp. Date: Warewashing Sink: of Quat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: 11 br, 34A f_ <br /> Time in: Time Out: l� ; �O `V Page of <br /> EHD 16-24 (211 pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />