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°PQu�k' SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> -...,.,..a:� Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> <<FOR <br /> OOD PROGRAM OFFICIAL INSPECTION REPORT . <br /> i <br /> Name of Facility: ro 0 S [?ate: <br /> i <br /> ddress: ecj< �J City: Zip Code: <br /> r, <br /> Owner/Operator: Telephone: <br /> Program Element: f f Program Record: Q 5. 5.6 Inspection Type: <br /> B18o Posted VYes ❑ No Permit Posted es ❑ No Re-Inspection on or After: T-! <br /> tBA�1®1�F1�G7` NS` _ <br /> ... .... s... . <br /> Al a4,_h4na F Iva rr .ex-k R fd <br /> m [4 <br /> 5K <br /> R. All Floor al - ,&�/al A4- d <br /> asr <br /> Sft 50 UA, { 2c s rvi'n� — okew <br /> t Com jai,- 4w G° Cov� s 2Ltcc7 <br /> C iALS 40011W S - fJ rK Ne ` <br /> Goo ,CfSC4 357` <br /> Ym i3gmfL. . .#Esti "T�m erature,; _ Eteria Lova toy y '; Temperature <br /> t� 3 r m biq Fr"ec <br /> Sc ars i�lrf-s c� ar 3 ~ <br /> /Za A) C r �i� ' <br /> Frwd' a#�#y,Certrfi . 4r4 m Fsazitrty #sst lhtteT 7err�patiare VllarewasEing21 <br /> 'ti <br /> Name. t 1 S� r Hand Sink: 'F Chlorine: Ppm Heat: c f 44- <br /> Exp.Date: d ' y ' arewashing Sink: D of Quat.Amm.: StOo PPM Other: o f <br /> Received By I Title: <br /> f <br /> EH Specialist: Phone: <br /> Time in:/o- Time Out,,,,/, .- Page of <br /> EHE 16-24 (2-Pg) 413!13 FOOD PROGRAM OIR CONTINUA ION # <br />