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oas"'"�. <br /> SAN JOAQUIN COU t <br /> � .� coa <br /> 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.siclov,orq/ehd <br /> �reoa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -Do Q Y- -T-Y--e_ -0, Date: j -2-0-/6 <br /> Address: --1�.L $ City: ��-�Yj Zip Code: 96e -7 <br /> .10 <br /> Owner/Operator: PC Telephoner$ 69;L15_ <br /> Program Element: f0 �$ Program Record: ?P-015215-95 Inspection Type: <br /> SB180 PostedYes No Permit Posted'�LYes No Re-Inspection on or After: <br /> K C <br /> OBSERVATtUNS AND CORRECTIVE ACTIONS: <br /> ... <br /> C4 <br /> -e 1�- f' Lcttj-c_o( v�C-� rr� le�v r s <br /> aa_ ___ ( _�-►-�_ h- S <br /> If _ Ldcat�on Temperature <br /> I <br /> / <br /> Fos�tls8f�y rl pn x Fac1fatlNate�Tem rafure 1Narewashmg ' <br /> dY, Pe <br /> Name: HarA S'n� I`1V D o f Chlorine: ppm. Heat: of <br /> Exp.Date: ? k: nF Quat.Amm.: ppm Other: of <br /> /�O <br /> Received By/Title: /, L40 <br /> EH Specialist: Wv` r!i Phone: �]L 2 j <br /> Time in: - -Time Out: /1J'Js ,C� / Page of Z <br /> EHD 16-24 (2n1 pg)4/3113 / J FOOD PROGRAM OIR CONTINUATION <br />