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n gWy SAN JOAQUIN COUNTY <br /> z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95265-6232 <br /> �...q' P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s gy.org/ehd <br /> �lFO� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� 5 Date: (0-2 �3-- 1 <br /> Address: 2City: Zip Code: C1 S 3--S <br /> c <br /> OwnerlOperator: Telephone: 5 �-- V6S� <br /> �, <br /> Program Element: kbks Program Record: �b2 Inspection Type: <br /> B180 Posted ❑Yes ❑ Rermit Posted G Yes 0I Re-Inspection on or After: <br /> C - <br /> t� 00 Z <br /> 2 C � �e - <br /> _..� c <br /> � r�5 C .���� ! cry �: .r-E•s� `�.s.'� mac.--.r-C. l�'� ��F-1 ���f1 IY-o-�.�'1� - <br /> c <br /> f <br /> etrt »t a It"emp at�re ;. 9i I Y: ttop Temperature <br /> Y '0� <br /> ad s' . q <br /> Name: Eanl ir,�{c: of Chlorine: ppm Heat: F <br /> Exp.Date: washing$ink: of uat.Amm.: ppm they: -F <br /> Received By!Title: 41 It 1�;:I M N fI <br /> EH Specialist: Phone. <br /> ime in: 2 Time Out: -Z� Page lof <br /> EHD 16-24 (2"'pg) 41A3 FOOD PROGRAM CIR CONTINUATION <br />