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SAN JOAQUIN COUNTY <br /> r_ ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �.. Telephone: (209) 468-3420 Fax; (209)464-0138 Web:www.sigov.org/ehd <br /> R�,Fo�a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` C-1 PLA` Date: 1 <br /> Address: � MOl [� <br /> City: ' t'tm* Zip Code: g52-0�5 <br /> 2251 - <br /> Owner/Operator: rt V1 U0 C1I AZY��U� Telephone: <br /> Ele <br /> Program ment j,,U Program Record: [(0.2 10 1'�) Inspection Type: F-C;kAt-t4 <br /> B180 Posted Yes ❑ Rermit Posted Yes ❑ I Re-Inspection on or After: �— <br /> now <br /> Thgr.Q G(G� Q - f�E 2� t (11L ��I CTIA G <br /> l tA 1p\.2 + [r e_ 4- <br /> tbdca <br /> �caCJS io tb Wc)U,r v�Ae - `n- " - <br /> (cn Scro r-QivlCJut Oj i I GL <br /> I tie cps- n 1 w Q en:-_ <br /> h G�_CT : (C)Ci > M cwwNle <br /> 0-dr- 1 �LQ_ (� F <br /> W, Offift <br /> Name: r 1r��� Hand Sink: of Chlorine: parG� ppm Heat aF <br /> Exp.Date: /2 I arewashing Sink: of uat.Amm.: ` ppm Other: of <br /> Received By 1 Title: /1 <br /> EH Specialist: I ` Phone:CA '2rt/'.I _ 4(A (0 <br /> Time in: G".'� Time Out: ql �0� Page'Zof <br /> EHD 16-24 (2wpg) 41303 I I FOOD PROGRAM OIR CONTINUATION <br />