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°"'" SAN JOAQUIN COUN fY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • oq, -:..�iP• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:vvww.sjgov.org/ehd <br /> �i ii 6W <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q� 4 Date: <br /> Address: C) 0 U—) Y 1'1+ I City. T Zip Code: O14 <br /> Owner/Operator: 6)19 <br /> Telephone: _ 171? <br /> Program Element: 1,160 t q Program Record: R 5Ll Inspection Type: n , <br /> SB180 Posted ❑Yes No Permit Posted ❑Yes ❑ No Re-inspection on or After: <br /> OBSER ATIONS AND CORRECTIVE AGTI®N. <br /> hands cS 1 f l O(o'F i tt °'F ) °f 1 �o <br /> Le a c b <br /> hAn I t Fes] F, _1157 <br /> —i WIT <br /> Yfp <br /> UJCL rm w ,r Mt - h.A ct ne <br /> ,n coo Ce r lis + ro zi s » <br /> Name: Hand Sink: of ChlorineHeat: of <br /> of ppm °FExp.Date: arewashing Sink: ppm Other: <br /> Received By/Title: <br /> EH Specialist: + Phone: _7O p <br /> Time in: (,a -3� Time Out: Pag9 of <br /> 10 D!5 <br /> EHD 16-24 (2^'pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />