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�0. 4 .eoG SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c�., ;�♦ Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> tl FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: n Date: <br /> ddress: 1] -75o S A G r 14 A <br /> City. C i 1h, Zip Code: <br /> wnerlOperator. Telephone: <br /> Program Element: Program Record: Inspection Type:/�pC`? i <br /> 8180 Posted E Yes A] Rermit Posted G Yes -7 I Re- Inspection on or After: <br /> owf,, ATIONS ANt3 C RIi, Vf 1 —C-D } <br /> U s � . JPMS Qr, h loon G-,I4c,nck . <br /> s rr,J <br /> re C 1 4 o r, _ -- <br /> r�S <br /> ok c , I; r t r . v�5 - ... l� of c/ s r <br /> fiemdLol+aiarq <br /> ern `F ►3eralttte i tt f ion <br /> Temperature <br /> CAa17r N � r <br /> Food S�#e{y Gert caticstt f�ae?tt 3 tat�►Vat rr is sane areryashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: -F <br /> Exp.Date: arewashing Sink: `F Quat.Amm.: ppm then. 'F <br /> Received By!Title: <br /> EH Specialist: Phone: // <br /> � <br /> Time Out: 9 Page of <br /> irne in: 1 <br /> FOOD PROGRAM OAR 0ONTINUAMN <br /> EHD 16-24 (21 pg) 413113 <br />