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SANJOAQUIN COUI <br /> ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: h� Date: 5_Z110-11.5 <br /> Address: City: ^C Zip Code: <br /> I')'jo►ro h TTJ o 7 <br /> Owner/Operator: S/ ^ Telephone: 44-72-8.09 <br /> 72_ g9 I <br /> Program Element: !oft Program Record: r /Z D G 17 3� Inspection Type: PLO 44 <br /> 8180 Posted ' Yes ❑ Rermit Posted '$—Yes ❑1 Re-Inspection on or After: '/ J <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I �c V 2 r'o`D YJ ot.. � r►'►'�-t_ r, �'`-� d �._1��->..��'� - U r► d <br /> 441 r vl n r lrnc7 x-1-11 - <br /> r h 32. <br /> .. ». I{� Iw•M 1 '.AIIl�4i � ".'� 9��� Y k==3 <br /> A <br /> Name: H.a`a�t S(pk: 12-C) •F Chlorine: ppm Heat: of <br /> Exp.Date: g Sink: 127 of uat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: LVI'tA Phone: L'>15 I <br /> Time in: Time Out: Page,1of 2 <br /> EHD 1624(211 pg) 4;3113 FOOD PROGRAM OIR CONTINUATION <br />