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°"`" SAN JOAQUIN COUNTY <br /> �o -coy <br /> .2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: .a <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �;.: — ;P• Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.or /q ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �. Date: <br /> f-G '✓ rL�� <br /> Address: ,/1�►/1� L City: Zip Code: <br /> k Horn <br /> GC <br /> Owner/Operator: Y/ J i rn Telephone: <br /> Program Element: I(InProgram Record: Inspection Type: <br /> SB180 Poste Yes El No Permit Posted Yes C No Re-Inspection on or After: <br /> OB AND CORRECTIVE ACTIONS . , <br /> SERO/f�TIONS <br /> .: . . . . tea.,.: �.:. .. ._._ .�.�... .<. _ <br /> ri f CZ C L GLS ate k1_1 <br /> f O�Lf r� © GI✓ <br /> lw� <br /> ;r14z 41-t <br /> }� L <br /> e c /Ze z— <br /> GtJts <br /> I h M Oi-Y <br /> a MAA%� W/ A­ &bap_ GO 11 a 66 V1 5 9 ONA <br /> a -ftw vt� <br /> IA <br /> .� W&wK�� <br /> L r z <br /> Name: �, an in I pt <br /> of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> i <br /> EH Specialist: nog <br /> Phone: .� <br /> Time in: ( Time Out: Page?I <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />