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auk SAN JOAQUIN COUN <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: .a <br /> - = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.siQov.org/ehd <br /> 4L�FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: n c _ 77777 _ Date: I y �� <br /> Address: City: Zip Code: <br /> Owner/Operator: I � � ;�� Telephone: <br /> Program Element: 71� Program Record: S.2• 7 Inspection Type:/" , 1.. <br /> SB180 Poste es No Permit Posted Yes No Re-Inspection on or After: l�tAi� <br /> flBSER1tA 1flNS'AWCI�F�FiECT V,E A �t3NS...:' _. ..�� �c��� {, . .�n.. . <br /> �. _. - ��, <br /> a r. <br /> M <br /> ----...__..... .._.__V,_ 1/►�. Y.1�LQI -�' ............-......----- <br /> - ✓_ _►�g�_ .............--- & --- - =-- <br /> U cin <br /> _ ro <br /> IMI Ix` z ,,_ "' a3tlf$-. ., ..'r ttG'rn/�Ocation ,.1-10 <br /> :if Temperature <br /> I <br /> q t#� <br /> ' .._ ashing <br /> OLE <br /> x <br /> Name: Hand Sink: OF Chlorine: PPM Heat: °F <br /> Exp.Date: Warewashing Sink: l-, ;� o f Quat.Amm.: PPM Other: OF <br /> Received By/Title: - _ J� <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page- <br /> ?of Z <br /> END 16.24 (2nd pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />