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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �;. -'�;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: s m /�i !` Date: " <br /> Address: City: ` Zip Code: <br /> Owner/Operator: _„DL w Telephone: L, <br /> Program Element: 1 �v Program Record: i P/. Inspection Type: Y <br /> SB180 Posted Yels [I N6 Permit Poste es ❑ No [ V Re-Inspection on or After: <br /> OESEI�VATIONS ARID CORRECTIVE ACTIONS ��'' <br /> D s� � Gt w�.�i�w - ��� ►�.�iL(r.�-c <br /> w--- f FYI v►e <br /> men,"vv\. <br /> CM 11M ku ✓ . <br /> Uva ger YAC A e L. •- �.-� ��.ee •� <br /> f A n of a ICU u <br /> MOMff <br /> v� <br /> V`C pv►/7.Q <br /> a a Kph CI <br /> L YIS S(� <br /> vWfi- If t�- - <br /> �C I ✓l� <br /> vi 11 AM /X h <br /> - sin .Zr <br /> L -- 1 ✓L A0yr 0(A 104 9M <br /> Name: �Arl^ 1 Hand Sink: of Chlorine: ppm Heat: F <br /> vl Vv'' ` <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in:I 1 f#n Time Out: %'1_4-17 Pagvf <br /> EHD 16-24 (21'pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />