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SAN JOAQUIN COUNTY <br /> �o .0 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �;. _�;P• Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/ehd <br /> �/FOEt <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f h U Date: <br /> Address: `t �n j City: a Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: e <br /> / Cin Iine <br /> SB180 Posted a Yes No Permit Posted ❑Yes ❑No Re-Inspection on or After: <br /> 17 dBSERVATIONS AND CORRECTIVE ACT10N <br /> I� LA - •1 0 PO4 qGaly. Clean 4c I. <br /> ko$ 4 rcdG -S S / (- c/o's �1 <br /> P 4; r 40 dq V _ <br /> 13 Pro v; ol e S ; 4,- b u c 1C <br /> GI i '1 t C4 S �C' <br /> s o arn dr. o f <br /> Ck , <br /> r ire fj ir rator al 0 t 161 b✓ y r, ccrre c -t 4cpea <br /> Pro I,, de $ a n Ii ter 4cst VriS. Gcrrect -kO'dot <br /> 7 <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> LLLExp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Ile Phone: / <br /> Time in: Time Out: (� E7 Page <br /> .,of <br /> J <br /> EHD 16-24(2ntl pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />