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SAN JOAQUIN COUNTY <br /> 2' •:i <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4�lFi;R�'k Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C <br /> {� A�e�6 Date: <br /> Address: J]-11T w City: Zip Code: <br /> ,n <br /> OwnerlOperator: „ r n J� Telephone: <br /> Program Element:' ,n ,v Program Record: C VI-7/) Inspection Type: <br /> PUG Posted i fl// 0 Yes 0 Permit Posted `�,}v7v"O❑Yes Ll I Re-inspection on or After: <br /> _...... <br /> rb <br /> �., <br /> a <br /> 1 - <br /> G <br /> wL u� <br /> d t- V J, �Lwr <br /> 141 <br /> _'�i�_' 11 <br /> A aA law <br /> 2 _ <br /> w\_ , v_/3 AA-L. 4-t.e <br /> A-?' <br /> "?'tea" <br /> `.` ti!a a rebii <br /> Name: and Sink: 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 /> ime in: /} Time Out: Pag y <br /> EHI]16i24 (Z'pg) 413113 F000 PROGRAM OIR CONTINUATION <br />