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SAN JOAQUIN COUN' <br /> Q` y. ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •.. Y= Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.slgov.or /g ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` y�7 r 4-z e,(-1 <br /> Date: 7 <br /> t City: / ` Zip Code: <br /> Address: L� <br /> Owner/Operator: Telephone: <br /> G �l�t-CZ y7G r � r L�7-, <br /> Program Element: �j,/„ Program Record: Sn ' Inspection Type: <br /> 13180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> } EF SIA tC3l S 1+ {:QFiRE T1ifE A� I NO <br /> M6 � �4 <br /> 01 to k i c <br /> ,i hip WatIv v <br /> iYemf. bort e Tem a#ure; Item# ocaIt n TetnpQrt+ture <br /> orifi etyertifitron , t 9E Wste�Temperawlareyirashing <br /> Name: Hand Sink: 1 aFChlorine: ppm Heat: 'F <br /> Exp.Date: WarewashingSink:,' of uat.Amm.: ppm ther: of <br /> Received By/Title: <br /> EH Specialist: �✓ �� Phone: i! <br /> Time in: Time out: J Pag ofL <br /> EHL)16-24 (200 pg) 4!3!13 FOOD PROGRAM OIR CONTINUATION <br />