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SAN JOAQUIN COU <br /> P <br /> _ '' ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: .Ae� i/ V c'-I GGijti �(., f ' /L.. 1 Date: 1 <br /> Address: 3 j City: Zip Code: <br /> Owner/Operator: /1.. " ' �(c "—VL Telephone: ' 01,0&r7 <br /> Program <br /> Program Element: V � �a. Program Record: /S S0 „rJ_F� Inspection Type: (l� <br /> 6180 Posted es 171Rermit Posted V es ❑I� Re-inspection on or After: 'v(/ <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> t , <br /> ride <br /> � V� v <br /> 1` <br /> .d-ewv <br /> w61'1-7. 71 <br /> Name: r7W7 jr¢, � �,y Z. Hand Sink: -� IFChlorine: ppmHeat: of <br /> Exp.Date: �7 �el � arewashing Sink: e ` �Quat.Amm.: ppm Other: of <br /> Received By/Titl <br /> EH Specialist: ' ' Phone: <br /> Time in: }ti 1, Time Out: PageT1 <br /> =HD 16-24(2n°pg) 413(13 FOOD PROGRAM OR CONTINUATION <br />