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°9!ry..C' SAN JOAQUIN COUNTY <br /> 2� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • ...- ;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/ehd <br /> '�L%FORM <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,� T C.2, Date: L171 / <br /> Address: -615$ G+Q r fWn 4.e f 'tza City: Zip Code: 2 S <br /> OwnerlOperator: J � IYLe'O <br /> Program Element: �(o (p I Program Record: (Z p0(o C!(o� Inspection Type�Y2 SL'L "ha <br /> SB180 Posted =Yes No Permit Posted ]Yes r_ No Re-Inspection on or After: <br /> .,. � 5 Q r ' <br /> l•<<- FZP3G0 <br /> U <br /> CA n <br /> PoSa S ERO an WH 8A, -- <br /> -- <br /> `P rD e, rc,rn I F-e 13-7 - <br /> fel t Ze r �o <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title5 1Z A0 O <br /> EH Specialist: ktlk Phone: - 1 <br /> Time in: 41;- KLtJC K/') <br /> I1 Time Out: c�; Page!of <br /> EHD 16-24(2n'pg) 4/3113 O FOOD PROGRAM OIR CONTINUATION <br />