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SAN JOAQUIN COUNTY <br /> j ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sg ov.or lehd <br /> t1FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: _ZC4 <br /> Address: — <br /> City: Zip Code: Ol S <br /> Z 11 � T <br /> Owner/Operator: C`l Telephone: <br /> 51O 33 <br /> Program Element: 1 Program Re ord: 5-Z-=t a q 2 Inspection Type: 0 5 <br /> IS 8180 Posted ❑Yes 0 Rermit Posted ❑Yes 111 Re-Inspection on or After: 2 W <br /> 2 11--•Q �,c�..��-r3-� _. �;v...t� d,�{-- �"-�--Q- L�--e�`�- 1`�z��- 1,�v,- �n � <br /> C cv--Y-- <br /> c d ota esa , f o ati t Teraperature <br /> ing <br /> Name: Hand Sink: ofChlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quit.Arm.: ppm Other: of <br /> Received By I Title: <br /> EH Specialist: �n+ �`^ � Phone: \-A �.n <br /> Time in ; 1 Time Out: ,+ Page Of 1 <br /> EHE 16-24 (2' pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />