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P4"` <br /> o "'- • c <br /> �.• SAN JOAQUIN COUNTY <br /> ,•.ot <br /> .a ENVIRONMENTAL HEALTH DEPARTMENT <br /> :X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •'c4., a; Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www,sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: 5 Z pY <br /> ddress: r1 �; City: —rk- Zip Code: <br /> Owner/Operator: 0 r-'j L e e <br /> Telephone: <br /> Program Element: G)_ Program Record: S 9 00 q 56 7 Inspection Type:Co e\s u 14 #IS 'U <br /> 8180 Posted 0 Yes ❑ Rermit Posted ❑Yes ❑ I Re-inspection on or After: ' <br /> M-0 <br /> .1 N 464 6 ales it) 4Cne112 i,Jrex-5 <br /> r k Qaw _ <br /> D. a �1CrM: �.. - ante <br /> fps ..... hav bf7nn A �� Pe fern � G <br /> t CC' 1 l� h 11.5 z hand S:n- rr v S; n <br /> o S. n and :S k14 Air <br /> r /1110 d' f € Temperature. <br /> pro <br /> Foss eici at CFr 1> �re kastl ita <br /> Name: 1 Choi <br /> Hand Sink: I IC) of �Chlorineb& <br /> seppmHeat: of <br /> n �/Exp.Date: arewashing Sink: 7S of ua .Amm.: ppm the-: eF <br /> Received By 1 Title: .5 <br /> EH Specialist: Phone: <br /> Time in: lTime Out: �-Z Page, of <br /> EHD 16-24 (2otl pg) 4013 I FOOD PROGRAM OIR CONTINUATION <br />