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SAN JOAQUIN COU Y <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q•.. �;:P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.si.gov.or,/q ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -k Y4 Q✓``� Date: 7/7T7 <br /> Address: 2)_/ G+ �•(�Yt N 1) City: Zip Code: <br /> Owner/Operator: Telephone: yr <br /> •-- <br /> 30 <br /> Program Element- Program Rec d: Inspection Type: <br /> t ' <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVES <br /> 79- <br /> TI�?{V _ <br /> T m � <br /> I em nature <br /> t <br /> i <br /> Warewashmg <br /> Name: Hand Sink: of hlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm �0___ <br /> ther: of <br /> 4jol <br /> fl bVReceived By/Title: r <br /> EH Specialist: Phone: U <br /> ime in: C / A Time Out: Page of <br /> EHD 16-24 (2n4 pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />