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0 0 <br /> o-I'4�''"• SAN JOAQUIN COUNTY <br /> P: A <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 4 n Date: 17177141 <br /> Address: e City: Zip Code: <br /> Owner/Operator: h / /K Telephone: <br /> Program Element: / Program Record: Inspection Type: <br /> SBI80 Posted Yes No( Permit Posted es ❑ No Re-Inspection on or After: <br /> CORRECTIVE ACTION <br /> In W <br /> si L • �h d <br /> !V <br /> _gb , <br /> i,Lu v,.d t fv t4- u (A c{,:rn ,c � <br /> 10 W14 4 kiell� 1A, <br /> JifviL <br /> G <br /> Name: d Sink: .2'1 "F Chlorine: bpm Heat: of <br /> Exp.Date: arewashing Sink: ] 77� IF uat.Amm.: PPM then. eF <br /> Received By I Title: !' <br /> EH Specialist: " L Phone: <br /> ime in: • - Time Out: Pagerf 1/ <br /> EHD 1624(2n0 pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />