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SAN JOAQUIN COUNT <br /> ,2< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s*gov.org/ehd <br /> �iFORe� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �J Ac G.1 Z c^ 1 Date: 2 J_ Z <br /> Address: U \ C \ , , \ City: Zip Code: q <br /> Owner/Operator: \ c Telephone: <br /> Program Element: +. e ProgramRecord: O 2 pt^ Inspection Type: yC)K6 <br /> B180 Posted �l ❑JYes ❑ Permit Posted ❑Yes 0 1 V Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> C <br /> CA <br /> fz <br /> Vj <br /> CA aA 2 co <br /> s kja <br /> r:emm rature Item/Locatia emperature> <br /> 'Z1A I F. <br /> --.._ <br /> - - <br /> Fac of Water Temperature W,arewashing <br /> _ <br /> Had Sink: F m at:'ChlrName: <br /> Exp.Date: Wa a ing Sin Quat.A JAI-rpp ter: of <br /> Received By/Title: <br /> EH Specialist: <br /> ime in: , . -2 � Time Out: V `JPage�of <br /> EHD 16-24 (21 pg) 413113 1 FOOD PROGRAM OIR CONTINUATION <br />