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p�¢"'n CSAN JOAQUIN COUN' <br /> • 3 - tiG <br /> :i ENVIRONMENTAL HEALTH. DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • e.., J= ;�. Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s oy.or lehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORTJ� <br /> Name of Facility: 77777777-77 Date: T` I S— } <br /> Address: a 05 �'_o v Q /L City.- f n Zip Code: -C f5 �3 <br /> OwnerlOperator: � L IL 1 P— t'`w 1" Tele once: —�l k �_ �7 <br /> Program Element: i 1 1--� Program Record: 1 b i �t 7- Inspection Type: (e_`n <br /> 581$0 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> .i <br /> y �t <br /> Y..sem✓r 3 s C -lr � #'�� '4r� 2- <br /> i. <br /> -� <br /> ca EPES <br /> 14C) <br /> �I <br /> � . <br /> Name: Hand Sink: , of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By!Title: <br /> c� <br /> EH Specialist: Phone: �b <br /> Time in: t Time Out: Z� 'k Page,�of <br /> EHD 16-24 (2ntl pg) 413113 FOOD PROGRAM OIR CONTINUATION <br /> .— Ib <br /> • ii <br />