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SAN JOAQUIN COUNTY <br />N , ENVIRONMENTAL HEALTH DEPARTMENT <br />_ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• �q.:.• :, �;;P . Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sogov.org/ehd <br />LFOR <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: v V..' , <br />I <br />OBSERVATIONS AND CORRECT 1VE ACT,OS�S <br />Date: <br />2 — Z —7— <br />ddress: r <br />'_Z <br />City: W i _. C�.l� G� ' Zip Code: <br />Cj'5zq0 <br />Owner/Operator: { \ 5 <br />(— 77;CA <br />Telephone: <br />33 + — 5--7 b <br />1 <br />Program Element: ` 12 <br />Program Record: 'S3—i 5 j <br />Inspection Type: <br />�V <br />SB180 Posted Yes D No <br />Permit Posted ❑ Yes ❑ No <br />Re -Inspection on or After: <br />EHD 16-24 (2ntl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />,e <br />I <br />OBSERVATIONS AND CORRECT 1VE ACT,OS�S <br />2 — <br />O <br />f`r'y <br />cnfl <br />(� s <br />C �e <br />=� C i enc f e s <br />Name: <br />Hand Sink: 3 of <br />Chlorine: <br />ppm Heat: of <br />Exp. Date: <br />arewash' g Sink: `3 of <br />Quat. Amm.: <br />ppm Other: of <br />Received By / Title: <br />EH Specialist: <br />Ph e: kA b 0 <br />3O <br />Time in: ; G <br />Time Out: t,' <br />Page2of <br />EHD 16-24 (2ntl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />,e <br />