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gyp°".. �" SAN JOAQUIN COUt� <br /> ... •; C <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 �12�✓��52.. <br /> �4............ Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sogov.org/ehd <br /> Cf FOR <br /> err'"- 2 FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C 1 -'� Date: <br /> Address: 1 109 <br /> ^ -') — �k City: �r Zip Code: Cl 5 <br /> Owner/Operator: C\-'C o 1 t Telephone: yc s`90R <br /> Program Element: Pgram Rec Inspection Type:( -7 1 -7 <br /> � <br /> 6180 Posted xyes ❑ Permit Posted XYes ❑ I Re-Inspection on or After: <br /> OBSERVATIONS, AND CORRECTIVE ACTIONS v� <br /> O <br /> �w <br /> item/t_ocation <br /> (� V" �t S <br /> Warewashing <br /> ..u., .:r ... {jv�}3a�1 .S �....,......._ __ <br /> Name. Hand Sink. <br /> \ o Chlorine: � Heat: <br /> V F C\.Vuw1 ppm 'F <br /> Exp. Date: Warewasiing Sink: 12 of Quat.Amm.: ppm Other: of <br /> Received By/Title' r <br /> 2 PC'L L)4 $ <br /> EH Specialist: Phone: b <br /> ime in: 2, I Time Out: ?� PageZof <br /> '1 <br /> EHD 16-24 (2�pg) 413;13 FOOD PROGRAM OR CONTINUATION <br />