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SAN JOAQUIN COUNTY <br /> �o <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main Street, Stockton, CA 95202-3029 <br /> Cop <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: %1 c Date: <br /> � r I <br /> Address: �J City: ^ Zip Codlv� e <br /> Ownerloperator: . Telephon WY-/(1—V <br /> t <br /> Program Element Code: / ` <br /> Program Record ID: /�. „�,(J 6-2, d ry /3 �7 Inspection Typ � <br /> SB180 Posted es u No Permit Posted esj No Reinspection On or After: IV <br /> `�� .' ���' ¢�.� - =�;,t}BSERVATONS [�� �tEEC�1�6E>�►C.`'T�C3NS"'ce�� �= _' - . ; - jam., <br /> _ / W <br /> LOP <br /> A � <br /> t, <br /> l+em l-roc t�,_ _" ;�T m :__ ;"rlana Lrrca4ii tl'. _ . -: 40 <br /> 3 �� <br /> " d 8a1i3ty Certlficabon ` __ ..FEIStHot4lfdtlempeu� ._.. a [eiira` °p <br /> Name: Hand Sink: aO r °F Chlorine: PPM Heat: °F <br /> Exp.Date: am Warewashlng!!t: A6'7— °F Quat.Amm. ppm Other: ppm <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF THE SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. <br /> ALL DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. <br /> Received By: Title: <br /> EH Special! . Phone: / fJ <br /> Time In: , Time Out: �p Q <br /> '� Page: of <br /> EMD 16-23(2ND PG) FOOD PROGRAM OIR <br />