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0�qu�K SAN JOAQUIN COUNTY <br /> 3coG �� f <br /> 1 n <br /> p ENVIRONMENTAL HEALTH DEPARTMENT �f�/1 ���) <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c •. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> �4�i aga <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT f <br /> Name of Facility: I - Date: —7--z`7_ <br /> Address: V�J <br /> 12211 C City: Zip Code: i <br /> 5 33b <br /> Ownerf0perator: 1� - Telephone: <br /> Program Element: 4—�,11+ Program Record: l+ _ Z G Inspection Type:IS r <br /> B180 Posted 0 Yes ❑ Rermit Posted `[) ❑Yes ❑ I Re-Inspection on or After: <br /> C?I~35ER1t�t`[lOI N[3 CC}RRECTIVE 1�Cti" 115 <br /> C O 'A 1 q� b s CCDll_ ��-� _7-1-3--ho -� <br /> E '-'jCA v <br /> S il� n j <br /> _ _ F <br /> ��51. -�l- r�.-.. �• 5z)U4 3-.Q- <br /> -2, -Vo b T- r_•s_9 �,.4- 4 <br /> 2 � <br /> Foo <br /> Safrti#icaf�on .'. . F �1� H�f:1tV1er Tem faii tre A., ,X $ U#lareinrashin ;'3 cap <br /> _.._ <br /> Name: 5 ��� C,�„ Hand Sink: �3 'F Chlorine: ppm Heat: of <br /> III Date: 1 j_ 3- Z j 4� ar, evyash4 "4 v3 ink: 2 of Quat.Amm.: t ,+)1ppm Other: o f <br /> itle: <br /> Received By 1 TV �� �L V <br /> EH Specialist: Phone: <br /> Time in: III,cy ` Time Out: j j Pagi of� <br /> FHD 16-24 (2'"pg) 413113 FOOD PROGRAM CIR CONTINUATION <br />