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SAN JOAQUIN COLIN J <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.si-gov.org/ehd <br /> {tl Pb'Ai' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f'Z no Su,15Date: y,3p — <br /> ddress: 7 ec1c- City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: L Inspection Type:Ratc +�a� <br /> B180 Posted es ❑ No Permit Posted es - No Re-Inspection on or After: <br /> 3a�cr i` - a 07 cele V' - g6.L- <br /> FUo w a.,4 a// 4r-,w-e• ca r I'ecf A - <br /> e 2s <br /> ro�� f a�L 5�7��s — r►t S -ok <br /> tnctcklun - <br /> dr Fn-d r 467Le r 6-i` b <br /> a Ya <br /> rty Certification f_._ Facility Hot water Temperature Warewashing <br /> HandSink F Chlorine: ppm Heat: -p <br /> te: arewashing Sink: J of Ouat.Amm.: B0 ppm Other: 'F <br /> 12 <br /> RLSpecialist: <br /> tle: < <br /> EPhone: <br /> Time Out: <br /> Page of <br /> Oan <br /> EHD 16-24(2e°pg)4/3'13 FOOD PROGRAM OIR CONTINUATION <br />