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� y y" SAN JOAQUIN COUNTY <br /> N, x, 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: �— I C 17'R l_ Date: <br /> Address: jU 5-r- "6 7`Rf+1.. City'. t-/? /J-/1 Zip Code: ej6-3 <br /> Owner/Operator. C �N�S Telephone:7y,0�U�l <br /> Program Element Code: d Program Record to: Inspection Type: <br /> SB1 RO Posted Yes No Permit Posted Yes No Reinspection On or After: <br /> OBSERVATIONS,, N2 CORRECTIVE ACTIONS -;r;i'- <br /> U �Rm I T I-) ILL, 13F 15 02 N I <br /> lS z�)v77P(A /9 46 5 / M "(a )AIT IL Ye <br /> C04. SCJ Ty/e/v <br /> Name: Hand Sink: °F Chlorine: ppm IlHeat: °F <br /> Exp.Date: Warewashing Sink: 'F IlQuat.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 /> ��Q 6 <br /> EH Specialist: ( hn a Phone: '/6 <br /> Qp_7/"7 <br /> Time In: 3� n Time Out: <br /> 3,'P f 77 Page: / of <br /> EHD 16-23(2ND PGI 'J FOOD PROGRAM OIR <br /> FHD 16-23(2ND PG) v U FOOD PROGRAM OR <br />