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SAN JOAQUIN COUNTY <br /> ;a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • •., ;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> q�ikoR`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C �u ��� / r4rC� Date: .S <br /> ddress:�► D [ City: C� Zip Code: ., <br /> Owner/Operator: a l r �e elephone: <br /> Program Element: /, Program Record: D /_ Inspection Type:. %O f A , <br /> SB180 Posted El Yes 11 No Permit Posted ❑Yes ❑ No Re-Ins a t'on o�q�gfter:�T� L <br /> OBSERVATIONS AND CORRECTIVE ACTION <br /> ti- <br /> vow R v� vr; �� y'Lte !fowl v� <br /> 70c, � G�ddFr�(.�oC <br /> t /'s �iJvi Gr/� v <br /> 00/ <br /> t- <br /> q <br /> Cite Wrt 47 ki <br /> [)1100 <br /> V <br /> 17 <br /> Sa�� '��✓ � '- d K rr. <br /> Q - <br /> 1 <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm Other: �F <br /> Received By/Title: , <br /> EH Specialist: Phone: 9ej <br /> Time in: _ ( t Time Out: 01 <br /> Page/of <br /> EHD 16-24(2n'pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />