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oPQu�" SAN JOAQUIN COU. �( <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> 4:j <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: j b k?e Date: 3�, - rj <br /> Address: cal`;52 w,,1v�iUG City: ! ,• „.4�-�., Zip Code: <br /> Owner/Operator: �,av I UTA ` 1•�" v Telephone: <br /> 1/ , U� G` U 1"2 2 ��I <br /> Program Element: Program Record: Inspection Type: v Stt <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> :iy ,+��,� <br /> u <br /> 7 ra <br /> x t, .> F 'x _ F , <br /> had -P� nPw r ,fin C�001 <br /> b+ <br /> N&iw CSW n/v ,,(SF curve GA <br /> Gw CtIN P-ef_ u t i NTI b U <br /> cm fii(514 Dq <br /> 711 <br /> .. <br /> T a <br /> 77 <br /> # f Safetyrlca>on N E^ s. i r <br /> Name: Hand Sink: of LChlorine: ppm Heat: of <br /> Exp.Date: arewashing-Sink: of : Ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: (1a , <br /> Time in: I -,•. 2�) Time Out: Q Paged of 1 <br /> I <br /> EHD 16-24 (2n1 pg) 4(3/13 FOOD PROGRAM OIR CONTINUATION <br />