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SAN JOAQUIN COUNT <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: DC1 v `(I �-v.Pi 0k? I NN Date: F7 <br /> Address: 2U �.! ur1a�R S� City: `sLy_t� Zip Code: q5��2 <br /> Owner/Op erator: �'fT� ba l 0 t Telephone: (v(a_(o I U <br /> Program Element: 1 b 21 Program Record: \-?v- G 1 oo}A-4 Inspection Type: 2 0 t rp 1 C_K(TO <br /> "sted Yes No Permit Posted ::Yes C No Re-Inspection on or After: <br /> DB E i1� T t3[e S Atd�£ l R�!"#1E .TIONS . <br /> . . . . <br /> C�h�irved � n 2 D t�v (u.k+oUGhe s CVeM . <br /> IRA(A Vkjq he tr.?ca_V-rl a in . Ac_�iN used t7t1k k* <br /> kL CCL <br /> N <br /> itea>!ILocaion TremperaRure, #terga oai�ort: TerriDerature <br /> Fbd Sa#ety. urti#itiAttacElty <br /> Hot Telertpre kVarev�asig. <br /> Name: Hand Sink: ofChlorine: Ppm Heat: of <br /> Exp.Date: Warewashing Sink: of uat.Amm.: PPM Other: of <br /> Received By 1 Title: <br /> EH specialist: �{ 6 n yp y� j Phone: <br /> Time in: i( Time Out: t o ;ZC.) Paget of <br /> EHD 16-24 (2-pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />