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J: ! <br /> SAN JOAQUIN COUN) <br /> off. ..-... I <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . cq4 dar; Telephone: (209)468-3420 Fax: (269) 464-0138 Web:www.sigov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: <br /> 14 <br /> rcity: Zip Q5B9O-J0 <br /> 3 <br /> Opo <br /> ;�� `� Telephone: *� _ C"a 2-2) <br /> Program Element: D'2 Program ord: (j�- r"�" �310 InsIn <br /> pection Type: Cr,T ,YZA <br /> 8180 Posted ❑Yes ❑ Rermit Posted G Yes ❑1 Re-Inspection on or After: CUT&A <br /> (All I oat <br /> 1 t 51111= �1�h U <br />'lGIn krt ��L r � <br /> UClt1�Ct�U�l. <br /> I C QU h�� j S1 JCS �itZQn�l W �` } G wQ4ef <br /> I,�ca t- too <br /> p .pe cats 0-e. . of T foci . Aa w-, al <br /> C66 -i R `I- ,6 t 1nSt � - <br /> :I <br /> �i <br /> cliC—k �pi�S CA To � b0 " -� air e, - <br /> € In ve <br /> a �Gifluf�C�l`UC-�f GtG�E��S <br /> Q ii <br /> rF► eratcir ,!' <br /> 01M b�2i (OOF <br /> E+ ; <br /> m. ...... m... r <br /> .. „� .. ,%�� ,,. . rft ,� � '14 '(i�.gF,r�fi'�• �: ee �li��tevvas�[7 &,., m <br /> Name: Hand Sink: + ()C)' of Chlorine: ppm Heat: `F <br /> Exp,bate: :, arewashing Sink: IC)U 'F Quat.Amm.: ppm ther: of <br /> a <br /> 1 Received By 1 Title: <br /> EH Specialist: Phone: + <br /> -1 Tit <br /> Time in: Time Out: - V �J Page �of <br /> EHf)1&24 {2^a pg} 4!3!13 F00D PROGRAM 01 CONTINUATION <br /> ', <br />