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�P0.u'" SAN JOAQUIN CO' TY <br /> r Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> <<FORta <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 'v'2 Date: ,2 f <br /> Address: // `�l��G� 4c✓ City: Zip Code: <br /> Owner/Operators. t d Telephone: <br /> Program Element: Program Record: �,fS� Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRBCTII/E:ACTIt7NS.- <br /> - .. <br /> of , <br /> u� <br /> P DMK VXa'ZO t4 /L<,tA. AtW-WA <br /> oar a_ Al 10ftY44v,-n �. — <br /> ,� KAP >� -- <br /> :. .. .., LocatioM. ., �Tsmperature <br /> V, vwi <br /> L In. <br /> 1=ond Safe <br /> &-wNn =>1 acility Hot lNaferetnperature__ iNar� as <br /> Name: �,1C J„ ] /�^ Hand Sink: eF Chlorine: ppm Heat: — 'F <br /> Exp.Date: N 1/] arewa ing Sink: o f Quat. ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page`of <br /> EHD 16-24 (2^d pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />