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SAN JOAQUIN COU[ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4...• ..�;;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Tn cl,,�Q V1 (2di i ct A n L't e+ Date: C/, X77 <br /> Address: (010 PCity: CZip Code: Qb <br /> Owner/Operator: - ,�7, G � c7 Telephone: u.� 29 <br /> Program Element: 140 2_0 Program Recor PP-0 <br /> I(ODZ29 Inspection Type: Pt n6 <br /> IS6180 Posted E Yes E Rermit Posted E Yes E I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> d h ' k. un u o r Lvv� <br /> a vl +ro l. PLacc ov-en . <br /> i ('0 L-Pkl Gcl W 4-f 1tr G S <br /> PL 0�� -F a -F o r <br /> t CD r r-e_c -- h� z m Qr*a-h,5 <br /> 5i�5 a+-C Le 5s -Nha,-, 2-�� anA r � n r In yy <br /> CA <br /> a Y1 h h <br /> 13 15 K" r <br /> c�cattvin <br /> a door 3�'°F <br /> D u r-I L.Gc. bafio SIO°r <br /> Name: Hand Sink: c3 oF. Chlorine: D ppm 'Heat: of <br /> Exp.Date: are Shing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: ems^ f n ��✓� Phone: L�G3 <br /> Time in: Time Out: J j Ol 1` Pagel of j <br /> EHD 16-24 (2nd pg) 4/3/13 'l > FOOD PROGRAM OIR CONTINUATI10N <br />