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SAN JOAQUIN COUK,,.,o <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.orlehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: & Date: 67 13 _/3 <br /> Address: Ott phik Lank City: Zip Code: <br /> caner/Ope ator: Telephone: <br /> Program Element: 6 Program Record: Inspection Type: <br /> qk <br /> 81-80—P-0 <br /> 4 Posted es No erm't Posted es No Re-Inspection on or After: <br /> Irl ASA CES 0040Z"V sk,CO - <br /> epsS&/ev !"n cerS f c o <br /> F [vo —n s,-d< watkoi crry k s� Frctz Gf GI m� <br /> Q r <br /> K r r f crx: <br /> {his-M s /c <br /> Y#t�y�tlL.0ccaltow Thrp at l �`L`ianw"�.vof 'Umpo'�itlf die I:ktl tfon. Tern <br /> W&A t1�, t Hgt tAlater'fain. #urs. Y l ir�3ilras ing <br /> Name: MIA— <br /> Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: �t— arewashing Sink: of uat.Amm.: ppm ther: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16.24 (2'd pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />