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au�M SAN JOAQUIN COUNTY <br /> �oP�.cnG <br /> z` ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> NI <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ' .• _ : '. Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s ov.or lehd <br /> '�(IFORi? <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: W 1 Date: 7 <br /> Address: v City: Zip Code: 953-26 J7-2( <br /> s 5. ` {� <br /> Telephone: <br /> Owner/Operator: SG VE G k <br /> Program Element: 1 �v f Program Record: S poo S1 L Inspection Type: <br /> IS <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-inspection on or After: <br /> W S: <br /> �c•�P r n Yu.`� S.�1C q n <br /> I a rill jh lo 5h Yu a <br /> C Of f- a 1 W �n �C <br /> 4 'h t �u ` A� h a I f Wcr 11 CO.-nPr. CC, t,.- <br /> G 0r 4 �4 /� r h lqtcr��p <br /> u; 11 � ; I / �✓�'n/ <br /> Pp Jf d �h 1 �l rcm u 4 l,'n <br /> c, an, n q (� <br /> �- �_ . Ccr C led o.-, vacs bel <br /> P� <br /> OyS4prS C4 ff jS h Sj?pPrw <br /> uqs GJJow o s :toKS - - <br /> ie <br /> Tesnperatum <br /> PrepU�; yU-q l f <br /> - i <br /> -......-..... -- __------------------------------ - ._...---- - --_... . ----------- - <br /> ........ .... <br /> Name: Hand Sink: 10&* -F Chlorine: ppm Heat: °F <br /> Exp.Date: arewashing Sink: -F Quat.Amm.: ppm Other: 'F <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> Yk9!p/- j 16,y <br /> - - - <br /> Time in: S Time Out: V2 Page of <br /> EHD 16-24 (2^d pg) 413113 1 7 FOOD PROGRAM OR CONTINUATION <br /> S, <br />