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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.siaov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: r=TDS <br />-Tr <br />Date: IZ—Z — <br />Address: 319 1 L <br />fl <br />City: <br />Zip Code: 9 O <br />7 <br />Owner/Operator: . 1 ��� <br />Telephone: <br />Program Element: I 2 Program Recor I Z <br />Inspection Type: <br />B180 Posted /Yes No Permit Posted <br />Yes No <br />Re -Inspection on or After: <br />f7 <br />07 <br />T -o <br />►NS L -10 <br />C'�VLF-'q- fi.'AcE <br />Su <br />_ <br />►1-011., t,A <br />W <br />Ro <br />C® <br />D - o s6rip1 <br />r-u:)o e..5-rneie ALL <br />'poo <br />t0 <br />LO 6cr <br />1700^y. <br />- QGSEKVt-Q <br />0"rWINI <br />WIPI <br />�S 01-1 <br />I Nc51 S fq rJ l 't'I ZI N4 <br />$o � <br />� <br />G <br />W 14 C T <br />oLb <br />N <br />C7 <br />b � T <br />-CZ <br />OR --r WAn Norr ON <br />45rmv M-A <br />M <br />SCC-Zifb <br />L -t- -qrrzS. <br />to �5cr <br />:tgxplq <br />ye <br />Temperatu- <br />re <br />Food Safety Certification Facility. Hot Water Temperature <br />Hand Sink: O -F <br />Name: Ngg b Eto <br />washing' <br />Chlorine: PPm Heat: -F <br />Exp. Date:arewashing <br />sink: <br />-F <br />uat. Amm.: PPM <br />Other: -F <br />Received By/ Title: <br />EH Specialist: CL ft LAO I -A- <br />Phone: soq — � Z3 <br />Time in: I 1:5 ,r <br />Time Out: ) ,? , r 1 / No Page] ofg <br />EHD 1624 (2w pg) 4!3113 FOOD PROGRAM OIR CONTINUATION <br />