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SAN JOAQUIN COUNTY <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . ..: = ;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> 4CiFpRe� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: j J ' C, ! r<.i 1 L I J Date: I�, 4v, / (,f, <br /> Address: So© W C + l ti City: Ft T.,t 11 C Zip Code: 9 SZ-7) <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB18O Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> .- <br /> OS AND CORRECTIVE ACTIONS <br /> G C ,�s M� /--- -- j r~pYcv rL4 dn ii <br /> G ; �airt <br /> re fr;/ cv / <br /> Pre v., du l� j✓1 to :ell hd 1C., 4i <br /> r - u S? /f see e c <br /> Ccrr�c� �� da <br /> V3 G I u; n 12 t rnu Un S <br /> - f <br /> S N A: 4-1 L B r. u �, E �� Zz 1��'.✓Y S Ic, �R, SG.� � �� <br /> Tr U 4 136 F" <br /> it 14 rJ « 3r & -Ft . 15,E f 3 ofoCr) l.r <br /> 4e4ol ruble /'/v' (A CIrMer- <br /> Name: Hand Sink: of Chlorine: ppm Heat:- ,6 U °F <br /> Exp.Date: Warewashing Sink: aF Quat.Amm.: ppm Other: 'F <br /> Received By/Title: A0%., Ov t(W, r Ajj.4 0;(2 ve, <br /> EH Specialist: �' / Phone: `/ <br /> ok <br /> Time in: I/ Time Out: /t� Page;�of <br /> EHD 16-24(2^'pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />