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A4�n SAN JOAQUIN COUNT <br /> �O .CAG <br /> %' ?K ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq, a Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.o[g/e <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT �lC) <br /> Name of Facility: C�gtGii(lC V, C' ar, Date: R- Ido <br /> Address: 40 4C) . ftQbnCA r4 am <br /> City:C-�ur a►Zf� S <br /> S 1 U(�TU-4 Zip Code: /'1�J„�� <br /> erloperator. Telephone: "1 <br /> Tn <br /> Program Element (SPO Z Program Keco S I: GU:f G3 Inspection Type:.Cd1SU".qb0t4 <br /> SB180 Posted ❑Yes ❑ Permit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> I C-1 it CAA rr.P.4'111 1-,a S 2 Cul-1 P kQ Ce <br /> -kl vrr i t 1h CA 3 - &fNY--' IR 1 ViU[AN_ rX <br /> folks I nCA LC6 e The L <br /> -I ( <br /> e- <br /> a ort Site <br /> �'xtstr`eS.S nct M-2 <br /> bo-cinesS a 6v-e_ <br /> 3 aCe ice &LCXTS ir\ a 11zGna ccjn Ind <br /> rM wi MG4 fi �hz 9- comp <br /> - fia -Issue ZP!e7 Gf-fer esz <br /> G IE = IW5 <br /> CIIY- in wo <br /> 2- 6 f t <br /> Name: and Sink: -trI5f 0 0'F Chlorine: "atl ppm Heat: 'F <br /> Exp.Date: arewashing Sink: 170 "F Quat. Amm.: ppm er. eF <br /> Received By I Title: - <br /> EH Specialist: Phone: R./]n _.qf J6_ <br /> ime in: , 5(j Time Out: �I-rUr:ur "'U J Page of <br /> EHO 16-24(2n°pg) 4IN13 FOOD PROGRAM OIR CONTINUATION <br />