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" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> J. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> U61tTelephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sj oq v.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: '' J Date: " <br /> Address: City: } a t �/ Zip Code: <br /> Owner/Operator: /° U li !" Telephone: <br /> Program Element: Il/i ,i Program Record -7 Inspection Type: ��yL <br /> S81 80 Posted `�Yes l/( No Permit Posted ❑Yes C No Re-Inspection on or After: <br /> OBSERVaTIONS ANC'CORRECTIVE ACTION <br /> v� - '/ V k% <br /> 41 <br /> y J v ijl h Vv',- v� <br /> G cfxoil-" <br /> CIA <br /> eFC <br /> Iflau v\- }- -\ ��— <br /> a(vuIV' aV\a 14 Wk (v� i r <br /> t m 0 v W, y (a 11 <br /> V <br /> Ct D l t 14 K lkkVY� <br /> C fD U cW f a- f nLC <br /> 4f) Oy L4 Ci 1 t <br /> F <br /> �Yt �' rVl�' IZ 11 I Z� 17iS <br /> Name: Hand Sink: of Chlorine: ppm Heat: aF <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: wv" Phone: Lf 61 KI <br /> Time in: V Time Out: Pagei of <br /> EHD 16-24(2otl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />