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P��1y SAN JOAQUIN COUN- <br /> H, ENVIRONMENTAL HEALTH DEPARTMENT <br /> - -_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> {rr`o>z <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Y I� Date: 7/ <br /> Address: City: Zip Code: <br /> Owner/Operator: !nom f Telephone: <br /> Program Element: �WProgram Record: / Inspection Type: <br /> P81 Posted tX 5©Yes 0 Rermit Posted l ❑Yes ❑t Re-Inspection on or After: <br /> Cyst .: - - - ._.... ...._ .. ... ,..:.,. ....._... ... <br /> 144-u ULV <br /> o� <br /> AX / �674tf At- tyi)W 1AW, - <br /> fbnli ca> at lFrr itelttl Telpetat re- <br /> Food safety G erfar�ataa111 { ity air: tre $ rang. <br /> Name: Hand Sink: ofChlorine: ppm Heat: -F <br /> Exp.Date: A Warewashing Sink: -F Quat.Amm.: ppm ther: T -F <br /> Received By I Title.N�jlr 0C <br /> EH Specialist: Phone: <br /> Time in: Time Out: ill Page f <br /> EHD 16-24 {2n°pg} 413113 FOOD PROGRAM OIR CONTINUATION <br />