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4u'N SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.smqov.org/ehd <br /> LfPdR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ti G Q 5 Date: S 17 <br /> Address: �11 G t City' Tr G C Zip Code: <br /> Owner/Operator: ``1I Telephone: <br /> Program Element: Program Record: Inspection Type: C <br /> IS 6180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> AI <br /> 1 8 C C'42e 546re 'ice h '"\f - CcrfPcical <br /> Wa s 1c, 1K: n � _ a on h <br /> D <br /> S <br /> holer W <br /> ro Sc 'S SC Ji Orlin <br /> Gtr 4c daV _ <br /> n zon c Ve CGYr�c1 <br /> a <br /> Sa n;j,-Z et , 200 _ - <br /> r�isr;�t <br /> /3"", U 1' <br /> n - -----------------.__4.1_.1..x_._ .Lt _ r_Mr _...-------- -------- ----------- <br /> -S a <br /> --------3Sd 4 Ser&ne / f <br /> food Satay titi icat1ttlgr Jt .. - ' <br /> Name: and Sink: CW -F Chlorine: ppm Heat: `F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By!Title: <br /> EH Specialist: Phone:27 <br /> time in: Time Out: Page of <br /> EHD 16-24 (214 pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />