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oP_.0MQy1. SAN JOAQUIN COUNTY <br /> � c°c <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q.:, :,.�;;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.or /g ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S), C,G Date: 1 01'2—c2414 <br /> Address: 130 Q City: � �i-�� Zip Code: (bn.- <br /> Owner/Operator: 0 1 I n a�� 0 I x_01 Telephone: 4.(,O�l--'J,S 6 <br /> Program Element: 1116 OG Program Record: oO G 3 Inspection Type: 'rT1 <br /> SB180 Posted []Yes ❑ No Permit Posted ❑Yes ❑No Re-Inspection on or After: <br /> OE S:E VATIONS AND CORRECTIVE ACTION; <br /> (cm (r} ordaraJ dhcXe-n CQ -tom 11.(2 <br /> In Ckr:Q - ib-e (C),MR- t1CXUS(2 01 S h _SW r <br /> VC)Mk_hn <br /> -ownv s `bk i unto 4r_,r -fes c.e O r <br /> IOL C 1-+-O`� - )0 nd tC4 C, CAT-.,e stere <br /> { LI`� qhs c w <br /> Sln� i S ►� i v mb _,00p , wAipelr et <br /> S QNSo -Cul <br /> 0 ) .-, wCc -%n <br /> ,GDRA S- �� ,� Sl C,1L �� US <br /> -�w Q we5 .r 1 Oo+ rtn. . <br /> _V­-OrohmiS . <br /> Name: Hand Sink: I of Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: of Quat.Am - ppm Other: °F <br /> Received By/Title: <br /> EH Specialist: Phone: (�— <br /> Time in: Time Out: �vi,l Page iof <br /> EHD 16-24(2'1 pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />