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SAN JOAQUIN COUN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: t` C Date: <br /> Address: /l Ie t , City: Zip Code: <br /> Owner/Operator: 41Y /V' Telephone: <br /> Program Element: Program Rec rd: Inspection Type: <br /> SB18OPostecNees 0 No Permit Posted 0 Yes No Re-Inspection on or After: <br /> / <br /> •r VL' JG <br /> � <br /> &1_7tiYLE GC✓ <br /> ✓I Ct°l% <br /> s r) I —fvi n� ✓ . ah a <br /> ✓u <br /> ck /h h <br /> - <br /> I s2 ✓ W-a 6Yk <br /> kilo 1 ✓L <br /> 94-,446 k4- VI'F,-J owe IF D.'0yk717a17q <br /> t Yl JN 1W <br /> bter•' 6?W A O / <br /> ✓ at (�P - <br /> vt z r-A&i,- <br /> w A AWA —irf <br /> of iw "VJarewashing <br /> ame: Hand Sink: `F Chlorine: Ppm Heat: eF <br /> Exp.Date: ar wash' Sink: F ust.Amm.: ppm Other: 'F <br /> Received By/Title _ <br /> EH Specialist: Phone: _ <br /> ime in: Time Out: r Pagev <br /> EHD 1624 (2-pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />