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SAN JOAQUIN COUNTY <br /> �O. .CpG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Vr <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �;.. �;;p• Telephone: (209)468-3420 Fax:(209) 464-0138 Web:www.sitiov.orq/ehd <br /> LIFpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: •,n im I O Ve e r f` 11 LL 6 date: r 1,6 <br /> Address: 6 0 4 m. 11 Cr,v e City. S a es Zip Code: <br /> OwnerlOperator: " C h C" f 0 a 5 n Telephone: <br /> 1� Ci.ti <br /> Program Element: / 6- 6 Program ecord: O C 420 <br /> 2 3 6 Inspection Type: b� 4 <br /> B180 Posted Li Yes ❑ ftrmit Posted ©Yes Cl 1 Io Re-Inspection on or After: <br /> kmOM u; �{� Tke Y A ; r1s dY fqnhoAdt Afba4G (�Vi ng _ 41'g Summernh$ <br /> qn Gr ha a "5 C0 over 40 r' � h <br /> -;rA <br /> & fie "S .. ba �he : Qno be b,.ftd dru D S ter <br /> A1C, ! OI _ d,9n 1 Ih;S re1C[ n isl <br /> j C' IN- U a4 ras I, 04Is; 4 o <br /> I- <br /> 11 Ole h e r _ ti rn f r r Or Qda.*-n- ern n� V <br /> P, C14 reS -- d [ nrrtf �+'Gni f✓1_ <br /> Wle. - - <br /> at lrerrtpe� i ;It t tisk Tetraperatre <br /> Y - iAhring <br /> FtsPd'�f �cat� <br /> Name: Hand Sink of Chlorine: ppm Heat: `F <br /> Exp.Date: arewashing Sink: "F Quat.Amm.: ppm ucher: °F <br /> Received By!Title: <br /> EH Specialist: Phone: <br /> el— <br /> Time in: IQ. 1 C Time Out: 0, v Page of f <br /> J FOOD PROGRAM OIR CONTINUATION <br /> END 16-24 (2otl pg) 413113 <br /> Is— <br />