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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East HazeIton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />12__ ( 0 <br />OFFICIAL INSPECTION REPORT <br />FACILITY NAME/TYPE: <br />Churros Nancy <br />DATE: <br />May 20, 2015 <br />ADDRESS: <br />1680 S Union <br />CITY: <br />Stockton <br />ZIP CODE: <br />95206 <br />OWNER/OPERATOR: <br />Jesus Salazar <br />TELEPHONE #: <br />209-430-5510 <br />TYPE OF INSPECTION: 0 COMPLAINT a CONSULTATION 0 OTHER IRDE:. ORD ERAM PROG <br />NT: 1636 <br />Vehicle will be permitted for prepackaged non potentially hazardous foods. <br />Lic # 6zjf394 <br />Vin # 1fbjs3h5shb08286 <br />1. Provide name of the business in 3 inch letters, name of the owner, city, state and zip code in 1 <br />inch letters. Correct prior to operating the business. <br />On to issue permit. Obtain permit prior to operating the business. <br />INSPECTED BY: Vi al Pedraza <br />TIME <br />IN: 12:40 PM <br />TIME <br />OUT: 105 <br />DATE: LO// C <br />_:--c <br />RECEIVED BY: jec J., 9 cl, a 0 z <br />Page 1 <br />EHD 48-05 Rev. 02/12/15 INSPECTION REPORT