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SAN JOAQUIN COUNTY <br /> z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .. ;P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sagov.org/ehd <br /> 4�jFORe� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r P�f nS Date: 3 _D I_ I <br /> Address: 1 1 r.(:)A Lo q1 City: ex-to ) Zip Code: 015 <br /> ;_0 <br /> Owner/Operator: 5 I lA Telephone: Q 41_ 6 <br /> Program Element: vo I? Program Record: n 2O too ("3Lf Inspection Type: 1 , <br /> SB180 Posted Wyes [INo Permit Posted Yes No Re-inspection on or After: <br /> ,r <br /> OBSERVATIONS AND CORRECTIVE ACTIONS ``; <br /> r re <br /> v'&rC_.Q LSh e 1 v n ro a - s a Ltz. v <br /> a c <br /> Ye zde <br /> W "'s r) u A r d S n n ok ' U v-e <br /> >h w <br /> is <br /> L <br /> La&' Owl — 2 ILna. r?.S <br /> M ns oo_s4 o m r4 W a s, J, <br /> n <br /> 0 <br /> Eli <br /> rName: HW 3'I k-,,,, I p 0 OF Chlorine: ppm Heat: of <br /> 7 Sink: 'F Quat.Amm.: ppm Other: OF <br /> Received By/Tito <br /> EH Specialist: Phone: of"_ •� <br /> Time in: Time Out: Lo . 010 Page of <br /> EHD 16-24(2n°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />