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°guy SAN JOAQUIN COUNTY <br /> w7i <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.or /g ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: 1 •4 � lb/12-/)b <br /> Address; 22.�G � 4 n 6�— City: 5 Zip Code: <br /> OwnerlOperator: p�'P U V-10 Telephone: 6Z _ <br /> Program Element: 'U III �rSJ1 Program Record: �7 G Inspection Type: <br /> B180 Posted es n Permit Posted 1 Yes n i Re-Inspection on or After: <br /> ►"1 t I AIS F IV <br /> 1 C QL5P WO-S, 00 UJ t G i R C IICI <br /> 2� P� k-vvr Uk-\ -rD.i Lp_�fi ,r - \& `the. <br /> i_xUr <br /> Name: Hand Sink: '100 of Chlorine: ppm Meat: of <br /> Exp.Date: Warewashing Sink: ��aF Quat.Amm.: ppm ther: dF <br /> Received By!Title: <br /> EH Specialist: Phone, r ��g — J 2 44 r_ <br /> Y� <br /> Time in: ?a—: Time Out: rl _oC- Page2of :2EHD 16-24 {2nd pg} 413113 J FOOD PROGRAM OIR CONTINUATION <br />