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SAN JOAQUIN COUN'� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, PtGcktc.Q, CA 95205-6232 <br /> a: Telephone: (209)468-3420 Fax:(2 09 464-013 Web:www.segov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _Taj SA 8. ; CA Date: -I b_ <br /> Address: i2y _ City: Zip Code: p1 <br /> Owner/Operator,- ; O� Telephone: 2%q -(b3 <br /> Program Element: l� S Pr4gram Rec rd: Inspection Type: <br /> BtBp Posted ❑Yes ❑ Rermit Posted 0 Yes ❑f Re-Inspection on or After: <br /> "T12 S ck <br /> �3- Is . <br /> S �-- C S <br /> `Cly <br /> � r " ce_KC1. C <br /> 2C'a CA <br /> s ` <br /> Food'Safe#ye �tttitn F jt t �I .. <.: ' td� .. <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: `F <br /> Exp.Date: arewashing Sink: - of uat.Amm.: ppm ther: 'F <br /> Received By!Title: <br /> EH Specialist: , hone: b�� <br /> Time in: , l Time Out: 1 ;2/-, Paget of <br /> EHD 16-24 (211 pg) 43113 `7`/ FOOD PROGRAM OIR CONTINJATION <br />