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SAN JOAQUIN COUNTY <br /> 2 <br /> Q: ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �;.: ;P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.or /q ehd <br /> �/PORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �,�n � -1 OCT-�i J,�, G1C (T) OCT- U�10 ( r) Date: 2 /2----1/C , 4 <br /> Address: VU, "1 S. �I tUrvad City: 5� 1-u� Zip Code: q'52_60 <br /> Owner/Operator: ataet4� K <br /> , C19Tp Telephone: ,t �_S_'L223 <br /> Program Element: '1^I 1 Proggram Reeord:• DR(3 I� Inspection Type: ' rls a%Un <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND,CORRECTIVE ACTIONS <br /> MoSyi of aian s C gt"' <br /> RW i h C ian r -Fur ucj('CAmC)1a / �>_*e Lada . <br /> MPKOfS l hSi WC* WOO _�S Gk OSI-- 1 ivl us fi <br /> r O µarja `s ( ca O,r+tti ca <br /> \tie� , <br /> TZ <br /> (O(nZ U sada <br /> 77 <br /> EW' <br /> NamHand Sink: of Chlorine: ppm Heat: of <br /> r <br /> Exp.D e: arewashing Sink: of Quat.Amm.: ppm Other: °F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 16_ <br /> `. Time Out: I G, 5 D Page I of <br /> EHD 16-24(2n1 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />