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P°"'" SAN JOAQUIN COUNTY <br /> 2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: .a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq.. :.a�P. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s*gov.org/ehd <br /> �%FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: —t <br /> ddress: S 25 S. L4iz-Vtl' S'F• City Zip Code: 9 Z�0 <br /> Owner/Operator: Mozs:b Ck r� PD 6¢ r Telephone: 33-3-7777 <br /> Program Element: ' 2 u Program Record: 05;I a31 Inspection Type: �1 _ <br /> SB180 Posted es ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE.ACTIONS <br /> ,. - , <br /> O�sF-ct r i� rr►t t� �.S �iv.C <br /> boar Pree-- 4_1 d A� <br /> rNa =e: _ �� Hand Sink: C of hlorm j ) Heat: 7'FOA <br /> arewashing Sink: / 3 of uat.Amm.: ppm Other: <br /> Received By/Title <br /> EH Specialist: Phone: y 6�-3 57 <br /> Time in: s Time Out: 1Z Ll Page pfZ <br /> EHD 16-24(2nd pg) 413113 FOOD PROGRAM OR CONTINUATION <br />