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oP '" `. SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> F4�iFaa�;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: o ; Z-2, Date: I — 2- l0_1 b <br /> Address: 1 so 5 (j ,t City: (` _ .l_ �O Zip Code: Ct S <br /> Owner/Operator. ` �5 \ ez ��� Telephone: SSIB— 11 11 <br /> Program Element: 1�Z Program Record: S Zoo 1�O InspectionType: ' ,1 <br /> 8180 Posted ❑Yes 11Rermit Posted [IYes [II Re-Inspection on or After. �•`Y�r <br /> "C C) <br /> MR <br /> w t=( \- -1 -ZZ- 1b <br /> 0 <br /> O p - <br /> 2 . l c <br /> !� <br /> =Date: <br /> and Sink: `F hlorine: ppm Heat: `F <br /> arewashing Sink: "F Quat.Amm.: ppm Other: of <br /> Received By 1 Title: a <br /> EH Specialist: Phone: t"kbn 03-S� <br /> Time in: O: 2 ,� Time Out: Q): S Page of <br /> EHD 1624 (2-pg) 4/3/13 J CFOOD PROGRAM OR CONTINUATION <br />