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0 0°"'" SAN JOAQUIN COUNT <br /> ) <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . .. _. CP• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sl9ov.orq/ehd <br /> Qc�FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (AcM e_ nL NIA <br /> Date: 6 <br /> Address: (o Z t £ 1 6 City: C - _ �J Zip Code: (0 <br /> Owner/Operator: Pon r-e-+ � :t�V-6A Telephone: �- <br /> Program Element: Program Record: O I�1 �� Inspection Type:IS <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G tl I h <br /> s SU m i-1 ? Q H S -Tv tt- D orid 'rhe 0i <br /> Name: Hand Sink: -F Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: -F Quat.Amm.: ppm Other: -F <br /> Il <br /> Received By/Title: <br /> EH Specialist: Phone: — / •- <br /> Time in: Time Out 5 �G Page of <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />