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°"`" SAN .10AQUIN COUNTY <br /> °? .�o <br /> e` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: W Urs MIC 1�yDate: 2/3/ <br /> Address: tzm pr'(o City: St Zip Code: Q 5� <br /> Owner/Operator: fenrl aril W 1 n C+\an Telephone: <br /> Program Element: 1 �t J Program Record:I-eIN 0 1 b( (pQZ Inspection Type: ✓ 1;n'Ie— <br /> SB180 Posted It Yes ❑ No Permit Posted Yes ❑ No Re-Inspection on or After: t <br /> 0EISELYATj,9 ANO COF:RECTIVE A'CTIOIVt <br /> ---_ - <br /> il\SIS <br /> G`11 VA `� A%1dV 'IS k9 X <br /> CAS SS bLle . <br /> ir\Sic 1 <br /> u emu 1C1 . cis l <br /> fQ s . <br /> 1 i. co, SOon OtS D ss: <br /> ac b Ice <br /> aS vocsibLy <br /> Sh+ . <br /> 7 OT- 7 71 <br /> ;rr <br /> Name: Hand Sink: + d of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: ;VAI <br /> EH Specialist: Phone: g d"1 —41;— 3444ro <br /> Time in: i_5 O ' Time Out: 2 ; G Pag of <br /> EHD 16-24(2"'pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />