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� y � <br /> � SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E.Main Street, Stockton,CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �r GL L'/�YRi� �L Date: <br /> Address: rfU (,JES7' ST�Rf*v-- City: 17'l ZipCode:.�ib`37� <br /> Owner/Operator: '5,4 — C--r-)W XR O O 1 L Telephone.:7qo 7U L(/ <br /> Program Element Code: Program Record ID: inspection Type: <br /> SBI 80 Posted ❑Yes CI No Permit Posted []Yes ❑No Reinspection On or After: <br /> SC's 77 IV 5 1 fil <br /> S!� S zv ti uSE -CSL+v Y 7-16n-� <br /> I <br /> f <br /> ,arc <br /> '� �atian" " �• 3'err] �r'rv��f � cif°�r�� �"�-��'-'� �'��'e �� tt+��� :!=m.�-.. <br /> - <br /> a�Safe`�Aeqlficatlon�. `� i¢� .ar:�[i�yi=14�t�fVati�ru-'i'eittp�i�at� <br /> Name: Hand Sink: °F Chlorine: ppm Heat: °F <br /> Exp.Date: Warewashing Sink: °F Quat.Amm. ppm 110ther, 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: 6 4 <br /> Title: <br /> j EH Specialist: r Phone: Y6 —31'q <br />! Time In: Q c n Time Out: � f Page: ] of J <br /> FHD 16-23(2ND PG) FOOD PROGRAM OIR <br /> f <br />