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SAN JOAQUIN COUP,.., <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c; l as P Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.s600v.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U 5 - -Tacob5on Sc hoot Date: 2, ,k <br /> Address: 1 7 S o I .t G V CIA a 14 h City: —Jr C, Zip Code: 7 L <br /> caner/Operator: J W- Telephone: <br /> Program Element: Program Record: Inspection Type: PC U di ti P <br /> 8180 Posted []Yes ❑ No Permit Posted I Yes No Re-Inspection on or After: <br /> D CORRECTIVE ACTIONS <br /> J . 0 on -- - -- -- <br /> 7" (4c 04or) 1 e7a1 Saur Y,lc Wor v Me,- <br /> Tr,e fm;)W) I r-, V-4. r(M ; /K 144 ' ri <br /> ame: G e r �) l d;t G H 11P r land Sink: 10U l of hlorine: ppm eat: .F <br /> Exp.Date: �, 3 arewashing Sink: /2 of rust.Amm.: 3QA ppm er: of <br /> Lin: <br /> Title: 4pgaaw /�e <br /> : Phone: <br /> /I i W r Time Out: 7bb 0 Page of <br /> EHD 1624 (2b pg)49/12 FOOD PROGRAM OIR CONTINUATION <br />