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SAN JOAQUIN COUNTY <br />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 />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />- �,� <br />„� L �`� <br />Date: 7 7 -27 2 <br />Address: its` <br />eat: of <br />�/, City: <br />Zip Code: <br />Owner/Operator: <br />n <br />' Z <br />Telephone: <br />Program Element: <br />a,v <br />Program Record: 9 6 S1 C <br />? <br />Inspection Type: <br />8180 Posted Yes <br />No <br />Permit Posted Ye No <br />Re -Inspection on or After: <br />IAS ir,n &Ali -..%,tel-1 1-1f/' t/ DAI-AJ -//A Cvi <br />N //U1(,— <br />Name: <br />Hand Sink: <br />`F <br />Chlorine: <br />ppm <br />eat: of <br />Exp. Date: <br />arewashing Sink: <br />ofIP <br />uat. Amm.: <br />ppm <br />her: -F <br />Received By/ Title: �— If LW'I{� ( 1 I(IMCAVIAUO)�1 <br />EH Specialist: <br />one: Z V � _1 j <br />- 3 o to <br />!me in:! <br />11,21 q <br />Tlme Out: <br />I <br />Page of <br />rr <br />4 . <br />Name: <br />Hand Sink: <br />`F <br />Chlorine: <br />ppm <br />eat: of <br />Exp. Date: <br />arewashing Sink: <br />ofIP <br />uat. Amm.: <br />ppm <br />her: -F <br />Received By/ Title: �— If LW'I{� ( 1 I(IMCAVIAUO)�1 <br />EH Specialist: <br />one: Z V � _1 j <br />- 3 o to <br />!me in:! <br />11,21 q <br />Tlme Out: <br />I <br />Page of <br />EHD 16-24 (2^ pg) 4/N13 FOOD PROGRAM OIR CONTINUATION <br />