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SAN JOAQUIN COUA, 41 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq�7kr;d`'�P• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: — n , 1 Date: ' <br /> Address: 3 q00 /,r I AC Ar 4 h 4 r- City: Trc�c Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 58780 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBS Y.- �� <br /> San;_4_.-Zen- levrll Ihrc-nccur runn ;ng <br /> GG ,! ,„ill n- qtr <br /> t.-.-o I a a : a n. Q r_p_I'r r n _—�—W e e Ks - - - --------- <br /> 3 13(4 ' 1 d-" .p Un der Sa0"A 1 Ci, 5 4crrl r• Se if <br /> Ser. , Clean taolni <br /> +r:S r FS4rcoAl k0j 41, 1 a s 4C my G lee o f <br /> 73 +n / S4or( 40i l[ 1 r�r4 4' e/4 <br /> CrQc PR Ccv; le . CL i Al <br /> 591,i ) Zef- C 50 g,2 0,F ZOO �Gr11: �o� l'(7Gcr ' JS l <br /> l5. I <br /> rG rr `/ y _ FF 7'rl cm I /-JOG, q1, <br /> a1V 1 I- doo, —/- <br /> S F Sery yIF _ Gtocr 37r <br /> m <br /> Name: /4 A(q 10 rn and Sink: D G+ eF hlorine: PPM Heat: -p <br /> Exp.Date: 9, I Y arewashing Sink: J9 aeF uat.Amm.: j l SU, PPM ter: <br /> eF <br /> Received By/Title: <br /> EH Specialist: - Phone: 60 ,lm v --�-- <br /> ime in: -Time Out:_ I_ Pag i of? <br /> EHD 1424 (21°Pg) 4rSI3 FOOD PROGRAM OR CONTINUATION <br />