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i <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> �iadA� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: Phillil OheA6e k (.,L L Date: _ .aO Av <br /> ddress: e/„ City: Zip Code: <br /> wner/Operator: Q 2 Q Telephone: ,Ws--93b3 <br /> Program Element: 16 Program Record: 0561 L? / Inspection Type: <br /> B180 Posted 11No Permit Posted Yes No Re-inspection on or After: VK <br /> l $ O /H wrweehno W <br /> M4 q- <br /> minor c'h ad42n 6W a -3 a0/7 <br /> Taa LirZQP :Zed e 3 <br /> i i lxpr U� ter d� <br /> Alo <br /> o/i' % senae WAC3 69elryi "A1400*'0-'3 <br /> D i t4rv- dainea e o <br /> e%fiv / e Zlurt7td fht <br /> f <br /> v¢d i✓J e a.4d crtlr� �(cs <br /> 06i*o r i errzPar use ona-P <br /> ol-uA' c! ed o 2 - -/ d�ieA <br /> O✓ c -S ' <br /> Name: and Sink: d-�? `F hlorine: A-A PPM r <br /> sat: `F <br /> Exp. Date: arewashing Sink: /2., th <br /> "F uat.Amm.: PPM er: <br /> Received By/Title: :NN <br /> H Specialist: Q Pho9 <br /> P <br /> ime in; 09 11M Time Out age of <br /> EHD 1624 (2n°pg) 4INlY FOOD PROGRAM OR CONTINUATION <br />