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WAIN SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> -- 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4�l s `P Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: s- 6 <br /> Address: Jj City: Trq e,/ Zip Code: <br /> J <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> tlBaRVATlO S AND CORReCTNE ACT17,10—N-S <br /> .-: . <br /> V ai(Jr <br /> L rA antta cr Ki r <br /> IolI � Un ) <br /> A ( ( n� - NCf SClrvi n) . <br /> ftet�aL�cattt > tnperaure Ufa t C; tt Temper . <br /> Fold.rs>f, c Gertfbtl Ps+14 <br /> ty ext# kr eta ttY11~5n!aI , <br /> Name: Hand Sink: ofChlorine: ppm Heat: `F <br /> Exp.Di Narewashing Sink: `F uat.Amm.: ppm ther: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: / r <br /> Time in: Time Out: (' Page <br /> of <br /> END 16-24 (2i°pg) 413113 FOOD PROGRAM OR CONTINUATION <br />