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SAN JOAQUIN COUNTY <br /> to: :< <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., ;P• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s6gov.org/ehd <br /> ��FORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C) [_� � 3 Date: yac;o <br /> Address: c) .1 o n� G�� City: �� �,.I Zip Code: 1215�O <br /> Owner/Operator: : h ri rn; O Telephone: 4 X01-LI-72 rl p <br /> Program Element: Program Record: PRO Inspection Type: 2 nv— 6 <br /> SB180 Posted rkYes ❑ No Permit Posted SVes 77 No Re-Inspection on or After: 15-1-5- 111 <br /> OBSERVATIONS ANq_ ORRECTIVE ACTION <br /> Q <br /> 2t C.•e, .n -l-,G �4-h c s_ <br /> 1.0 <br /> coo <br /> ,r O <br /> h 1a r-e w.f <br /> a <br /> 1. <br /> »city— m 1e- r oinA &n <br /> +— •-� fell- c-i (..t c - <br /> G2 Vy-LCL C2 r Lop r -Py-y- -e 2Q r L <br /> ,� <br /> r `7'vic-ems <br /> 39"'F <br /> » c� <br /> Y cru <br /> Name: Hand Sink: d of Chlorine: 00 ppm Heat: OF <br /> Exp.Date: arewashing Sink: /;2 r/ of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: �� Phone: _ .41) ' <br /> Time in: �� bb Time Out: a; Page of <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />