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oP4�IN. SAN .JOAQUIN COUNTY <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •,. P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> 4c7p6a� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: !i CK/LL -, Date: S / <br /> ddress: At&Lfn <br /> �� City: Zip Code: <br /> Telephone: <br /> Ownerlopemtor: � L0 h <br /> Program Record: Inspection Type: (/4�� <br /> Program Element: 9 1(x�fqq= �/V alt <br /> B1 So Posted IYes ❑ waunit Posted Dyes D I Re-Inspection on or After: <br /> gggSE�tVATiONS AIQ� Oi3RECTlVE ACTIONS _ <br /> wt,� G//l.0 Cl't Gt',✓L. G� 11.V�L �.�LIi7r(i1,4 . <br /> �1.t.GLe G tif��-i <br /> to A <br /> d <br /> IM c VO." <br /> /V�a�t-tat. <br /> t <br /> t KX44 <br /> ddity Hot Water.Temperature <br /> _ -.r. <br /> — —` and -- Chlorine: Heat: °F <br /> ;xp.Date: <br /> Hand Sink `F _PPm <br /> arewashing Sink: =F Ouat.Amm.: PP�n Other: °F <br /> —fired By/Title: _ _ --- <br /> Phone: � <br /> H Specialist: _ _ Rage'1°f <br /> Time Out: ` Z <br /> ime in: <br /> FOOD PROGRAM OR CONTINUATION <br /> EHD 16-24 (2^ pg) 413113 <br />