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SAN JOAQUIN COI:,_.,'Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •C`gCiPURN�P.• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: sitpr Qr Date: q-5—ILI <br /> ddress: (00 I a. >v-e— City: 'bh Zip Code: a L I <br /> Owner/Operator: On � ?-� -1,. Telephone: —72414 <br /> Program Element: Program Record: C) :!)4 Inspection Type:'R.�_''��'`--'`��..��n� <br /> 8180 Posted CK,)es No Permit Posted QO'es No •J^ Re-Inspection on or After: ' <br /> ... ERVATIONS AND.I ORREG <br /> dlpg2l we ✓ lns 6ir� c;h vi Cit L( _ OJn CJS X730(r <br /> r0 v-� AA oL AA or 01- i r_p_ c,K <br /> W t `({e k V 1 17. ?0 l3 <br /> WaLC VA" L et+. GLiYo%1.16A rt cui <br /> b a c <br /> Yl oTs1 `Th e.✓� t4m w-AA CU r <br /> k I btAk CIOrrt,# r <br /> YO tnL-t. 0 Y'2 <br /> 32:>✓ L <br /> (A4 ✓Tr <br /> 4- <br /> 0- <br /> Coo <br /> Cao t- d;? _IC,� `lo°F <br /> .. <br /> ad safety Certificftion <br /> FFot Water.Temperature i''r ,.: '' Warewashirtg <br /> __._. _.. <br /> ame: F Chlorine: ppmHeat: 'F <br /> lt� r �`Exp.Date: 2 _I. 1 _ I L� Sink: IF aE A 0106 Ppm Other: of <br /> Received By/Title: J Y • /4 C <br /> EHSpecialist: (C Phone: QI —1 p Y9 <br /> Time in: ; <br /> O Time Out: / a Page.,of 2 <br /> EHD 16-24 (2°pg) 4/3113 FOOD PROGRAM ORCONTINUATION <br />