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x°P4 �p SAN JOAQU{N COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c �fi oa �p Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.slgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ?,? 0-f- Date: F_26—/6 <br /> Address: mer City: ��.,1�7 Zip Code: qA3 aj <br /> Owner/Operator: /-ZC4- _ ruQ I 1 Telephone5f0_t� �77P <br /> Program Element: ;-3 Program Reco d: PIc Q llo� y3� Inspection Type: [ <br /> SB180 Posted Yes No Permit Posted Yes No Re-lnspection on or After: <br /> - <br /> j1ot r <br /> Le- <br /> - civ La 6Le Pm L)-q A e - <br /> It Location j Temperature Temperature <br /> o� Sa Certaficaticm" F [riy H #Wates Ir " ratxlrs Warewashir9g <br /> ,, <br /> —- � . <br /> Name: / Hand Sink: i eF Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: 'F Ouat.Amm.: ppm Other: -F <br /> Received By!Title: <br /> EH Spec ialist: Phone: <br /> 3--2 2 17 <br /> Time in: f Time Out: + Pa of� <br /> 2'9V � <br /> EHD 16-24 {2od pg) 4013 FOOD PROGRAM OF CONTINUATION <br />