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j SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> •�q, �P 1868 East Hazelton Avenue, Stockton, CA <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 We6952Q5-6232 <br /> OFFICIAL Name of Facility: FOOD PROGRAM j111SPECTION REPORT <br /> ddress: ,�1d 1 ,3C1 tl <br /> r D N, r a Date: �/ /6 <br /> Owner/operator: 1 / City; <br /> G I Lf t/1 zip Code: 9 S 3 <br /> Program Element: e !l Telephone: <br /> 1 b 01) Program Record: <br /> 8180 Posted ❑Yes ❑ il7ermit posted � y �C inspection Type: <br /> ❑Yes ❑1 <br /> Re-1 spe t <br /> Cpm _ <br /> U 4G � a <br /> by <br /> �e,r .J , <br /> rs GO An <br /> h acr - <br /> e <br /> 4 <br /> r <br /> C� r <br /> �f5(' , �P � nJu Jhir rC N{Is A �oiY <br /> PPKei <br /> 11^ <br /> lin r It r ' ro Xi n <br /> n d, <br /> rve n Je4JL,r S 1 0, -Lo v IF <br /> D Wro peri h ei a ofc.r J's G 1 r,n e <br /> } n <br /> �I <br /> ..a <br /> a <br /> e<<m <br /> mw rr y <br /> y <br /> 1 <br /> w0% <br /> ^. <br /> ttk <br /> t=CJi3d ." <br /> Name: Hand Sink: aF Chlorine: ppm Heat. -F f <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: `F <br /> LeceivedTitle: Phone: 6 Time Out: Page of <br /> I ;y3 <br /> EHD 16-24 (2ntl pg) 413113 FOOD PRO4GRAM OOIIR CONT11,Y; 0% <br />