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SAN JOAQUIN COUNTY <br /> �oP�.coc <br /> r' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> q: < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of f=acility: Th J Date: 6 10-1,4 <br /> Address: S IS Q. CIG r City: f r N C\ Zip Code: (I� �� <br /> caner/operator. Telephone: 11 <br /> rogram Element: Program Record: Inspection Type: OU i � n f <br /> 6180 Posted ❑Yas ❑ Rermit Posted ❑Yes 01 Re-Inspection on or After: <br /> I le Ior Is 4,4;Al 0 n j C e arh :n e Is 40f 0 ice <br /> / i <br /> n G�5 <br /> 1; f,e IMq, �C Ur <br /> So f%l ; zer 00aigg <br /> l / <br /> Reach in 11)"awler geo( 11 in <br /> R2aC h -;n (2 Woor) yl F Mo Sh; Za K; 0 010c�) O r <br /> 41 F <br /> ame: 13 rG 11 donq ndova <br /> I and Sink: IDU "F hlorine: Ppm eat: �6 "F <br /> xp.Date: arewashing Sink: I y j 'F uat.Amm.: 36 & PPM r <br /> ther: 'F <br /> eceived By I Title: <br /> H Specialist: - Phone: <br /> ime in: -- -- Time Out: O Page of <br /> Mod as <br /> EHD 16-24 (2i°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />