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SAN JOAQUIN COUNTY <br /> ' a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siqov.o[g/ehd <br /> LIFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 5 C5 �t P it <br /> Date: <br /> Address: o(cin te City: r,G L Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> GLA 'i wt <br /> IS 8180 Posted 17 Yes ❑ permit Posted C Yes III Re-Inspection on or After: <br /> A7,, �Q I <br /> I rocde CA r 4GAS _— or "n 1 /oor <br /> r1 <br /> S:rt K b S odDIa ;5_ p�,sP r- --Cc rret e <br /> �4cc b 0 r <br /> 5he , h <br /> 2nMr, C 0 1CS <br /> SrA nOr u UC1 <br /> CA 1C Ul Tu 'C <br /> Ir CAC 10 r 11yf l �' <br /> CA f �L Hand Sink: r,fF Chlorine: ppm Heat: 'F <br /> Exp.Date: ! - 1 ZU I arewashing Sink: 1.2 of Quat.Amm.: ppm ther: of <br /> Received By/Title-. <br /> V <br /> EH Specialist: Phone: Yy i/1 e-116 f <br /> ti-me in: ' Time Out: Page of 2 <br /> FHD 16-24 (211'pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />