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o 4"►" c SAN JOAQUIN COUN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sig- ov.org/ehd <br /> �►FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: OhC� Date: <br /> :Do <br /> - 1j _ 13 <br /> Address: / -3// E O Se City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 1 (, [// <br /> / Inspection Type: <br /> SBI 80 Posted es ! No Permit Posted es I No Re-Inspection on or After: C O <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> fQ, F lov r1,441 d_9A �v <br /> ' �s <br /> `s 2s•rd <br /> loveam Af ble-" Al <br /> 6. Covr be4ZO SGul r--s _n .Zr - <br /> i--/- s W <br /> til d'' l k. Fr 2¢1L —Or/ <br /> /44n C4 5i`n kS -O -dam <br /> Pro" - 2 e o <br /> T-ra.�7z,h - 444 <br /> _.�`"� - - .,. .. _ '--. -: .t.. <'.'�.'. ;-' ✓` 'fit i�7 � WV W9 ':d �. <br /> A4 <br /> ck.z' c k.,-, IPA 1472t I <br /> Name: _ Hand Sink: 100 IF Chlorine: PPM Heat: 'F <br /> Exp.Date: Z arewashing Sink: of Quat.Amm.: PPM Other: of <br /> Received By/Tits C ' <br /> EH Specialist: Phone: <br /> Time in: Time Out: D Page of <br /> EHD 16-24 (2'd pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />