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SAN JOAQUIN COUN,.e <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> '• 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ogt5FORa`i~ Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s'gov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> G : r^ j, 0Date: <br /> Address: 1 U City: <br /> 7—rCA C Zip Code: <br /> wnerlOperatar: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted C Yes 7 Permit Posted ❑Yes ❑ IGcr � r�C <br /> Re-Inspection on or After: <br /> { _ AfC Il�aSh;h i rS� CaMT, !�'l eA 4 P-10 c- <br /> 4010 "7 r. i rl In i n '1�-- or m rir e 0A , )e - <br /> qre wQ h I, r 1 <br /> ) i n 1 a,S 4 <br /> ftem/Locai ion "✓I znp ra"tore i `. I rsi Jnr► Temperature <br /> Ur I ;Awa 0-dc-c ! <br /> I <br /> Food 4afety <br /> G rttfi tion I; rac iit t tat-tVt`ater 1! ra*M `. Var hi g. <br /> Name: J n r Hand Sink: I CJ 6FChlorine: ppm Neat: 96 IO of <br /> Exp.Date: arewashing Sink: ' z of uat.Amm.: ppm they: of <br /> I <br /> Received By!Title: <br /> EH Specialist: v Phone: 416 <br /> - ! d <br /> Time in: '� U - - - -- Time Out: jay 700 Pag�of <br /> EHD 16-24 (2w pg) 4013 /11 FOOD PROGRAM 01R CONTINi1ATION <br />