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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • czq.,. . �P. Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.,$igov.org/ehd <br /> Gif+ORd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: liq ppEZ n4�Z•a C/ CLC Date: — 2$Z v? <br /> ddress: 2 > �� �a 5-� City:5;or 7-p Zip Code: <br /> wnedCA <br /> Operator: 9 SE �� Telephone: <br /> Program Element: Program Record IPA <br /> [/ff 490 Inspection Type: <br /> 8180 Posted C O ❑ Kermit Posted (❑Y ❑l Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> O <br /> ok 7Z:) w <br /> teli..ac ti <br /> rName: and Sink: e6- r <br /> Worms: ppm r <br /> eat: 'F <br /> p.Date: lWarewashing Sink: 'F r <br /> uat.Amm.: PPM ther: 'F <br /> Received By I Title: `Tb <br /> H Specialist: 'j+_4_1 � ` Phone: s,� 5.6 /— 99 -7 <br /> Time in: /D•. O Time Out: = �� Page of <br /> EHD 16-24 (2o0 pg) 413113 FOOD PROGRAM OR CONTINUATION <br />