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t;.°"�" <br /> SAN .�OAQUIN COUN <br /> �o .........c <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c'�.i oRa�P Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s*gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S r, <br /> It'1 " "0 7 Date: (Cj <br /> Address: a 0 `, 1t voy- City: S ( i, .�j�1 Zip Code: /7 2 <br /> Owner/Operator: UUn No T �I` Telephone: "l —1-/_ <br /> Program Element: 6 Progra Rec rd: / �-; r Inspection Type: SCJ <br /> SB180 Posted VYes ❑ Rermit Posted V Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G1F GAG -S -�ih <br /> AUC* pfov+cke <br /> S h nd fi4fjC . C Ih QS h2 - <br /> Ij <br /> 0A 1�Su� f 2C <br /> h lair CU cm <br /> - <br /> 12WA f <br /> Name: x,11 , and Sink: of hlorine: ppm Heat: F <br /> Exp.Date: 1 2 4 I arewashing Sink: o f Quat.Amm.: ppm then: o f <br /> Received By/Title: v <br /> EH Specialist: 014 Phone: /_C - aA <br /> Time in: 10, ,1 1Time Out: j, 1 <br /> 1_D (C�U / Pag of <br /> EHD 16-24 (2nd pg) 4/31'13 1 FOOD PROGRAM OIR CONTINUATION <br />