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au'N SAN JOAQUIN COUNTY <br /> U�ibW <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.si ov.orc,�lehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: <br /> �L� l 4 <br /> ZipCode: <br /> ddress: � City: lc�f�� 2L J <br /> Owner/Operator: Telephone: <br /> Program Element: �` Program Record: I.�j �,f—�z, I S— Inspection Type: <br /> SBt80 Posted Yes No Permit Posted Yes No <br /> rr ff��No Re-Inspection on or After: <br /> y} OBSERVATIONS AND CORRECTIVE ACTIONS'INIW <br /> fly I <br /> k - <br /> ti 14 <br /> 4fte ;t_o � <br /> food Safety Certification Fa re Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heal: 'IFI <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm Other: 'IF I <br /> Received By 1 Title: j <br /> Eli Specialist: / Phone: 9S -05 Z <br /> ime in: �O Time Out: Page3of <br /> I <br /> EHD 1&24 (2,pgJ 41313 FOOD PROGRAM OIR CONTINUATION <br /> I <br />