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ApUlk _ SAN JOAQUIN COUNTY <br /> ?, ENVIRONMENTAL HEALTH DEPARTMENT <br /> :< 232 <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.s gov.oM Lehd <br /> {IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: VC r <br /> �! Date: M7-/ddress: City: zip Code: <br /> � �.5 S. Ira Irawnerloperator: 1Telephone: <br /> a .!Program Element- !V qProgram Record: inspection Type: <br /> B180 Posted ❑Yes ❑ Rermit Posted C Yes ❑ I Re-Inspection on or After: <br /> 14, r <br /> S S 11 <br /> ' n <br /> iterrrtt Per t iLooathm Temperature <br /> Faefffty H of,`i. Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: "F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm the}: 'F <br /> Received By I Title: t F �- <br /> EH Specialist: s� Phone: <br /> ime in: S Time Out: /0./ Page of <br /> C) <br /> EHD 16-24 {2'd pg} It/ <br /> !13 FOOD PROGRAM OIR CO T+NUATION <br /> 5 <br />