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`au'� SAN JOAQUIN COL 'Y <br /> ,e.(.�oG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> q�YFo.pa <br /> ;P Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.or /g ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: Y S f C <br /> Address: `( C / Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After:r VYY� <br /> 0BSERI�A�IC}NS At+t[3 CDRRECTlYB ACTIONS_ <br /> �w WN. <br /> Y <br /> -. ... - --._................-- <br /> - .�'lav� vvvz�aG� l � �. - l . <br /> f�e jt oil- <br /> 14-._ <br /> Tel7a" 4qq <br /> �r. 2z'01 lat <br /> .__.___..._......._.- ------- _--_ <br /> . <br /> _� --.............-----_–___________ ___........_........__..._____---____— <br /> w"vPP- <br /> JOU <br /> �t Ckw PUY f - tv - utl� <br /> al <br /> oeatw m, aemperatu <br /> air dt dt,�l� —vV� 2F )IqF <br /> lig/ <br /> e <br /> Ylr e e atur g . <br /> k 2lshin <br /> Name: . and Sink: of Chlorine: ppm Neat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: rk <br /> EH Specialist: Phone: <br /> Time in: Time Out:J <br /> 2-` Pagt/ f t <br /> ERD 16.24 (2nd pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />