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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.slgov_:org/ehd <br /> . <br /> FOOQ PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility - � Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: n A Telephone: <br /> Program Eleme t:1p$\2q Program Record:� S 1�ra`Zti Inspection Type: <br /> 's . 223 -�-1�-E <br /> SB180 Posted ❑Yes ❑ iRermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> UB8ERYATt0N6.-A id cO' kR' ECT. AOft.", <br /> i D C <br /> v U C?15� S S. 1` <br /> 3 rC <br /> n <br /> 4. <br /> _ <br /> V C <br /> It*nAj=AtIon :r E. 4 Tau", tteit IL lrait�pei tures. <br /> s <br /> o6d:Safelly" e. aRi n Far�iliy Hot Water TerApPrre VYa`re*asfiing, " <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: OF <br /> Exp.Date- Warewashing Sink: OF Quat.Amm.: ppm Other: of <br /> Receivep;I Title: <br /> EH Specialist: 1 _ Phone: q_ r -3 <br /> Time in: V Time Out: o Pagel of <br /> EHE 16-24 (2i1 pg) 41311 - FOOD PROGRAM OIR CONTINUATION <br />