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SAN JOAQUIN CC TY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> CiFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 7 r 1 Date: _w9_ K// <br /> Address: a City: �� Zip Code: <br /> Owner/Operator: Q 1/`Q� p C44 Telephone: <br /> Program Element: ol. ProgramRecord: .�I I e0\1 Inspection Type: <br /> B180 Posted ❑Yes ❑ Permit Posted ❑Yes ❑I Re-Inspection on or After: <br /> \ NOON <br /> f04 <br /> 1 W :> <br /> r�" 6 <br /> t2 V Gl {'.� � C(.i LGt-►�r� ✓v`u�.vVl-v+� <br /> 1 S 1 sw Ikon fiv( <br /> Item/L�ocation ._ 4 Item 1 Location <br /> My <br /> Name: Hand Sink: T -F hlorine: ppm Heat: aF <br /> Exp.Date: Warewashing Sink: 7 of Quat.Amm.: ppm Other: of <br /> Received By/Title: — <br /> EH Specialist: Phone: We <br /> Time in: I Time Out: 1 �b / Pag of i <br /> EHD 16-24 (2"d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />