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or.4ylN. SAN JOAQUIN COUNTY <br /> b' ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www,sigov.org/ehd <br /> �t abk� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: CP4C 5 C__7 S ._�i; Date: 13 2D Z 3 <br /> ddress: SPe ` City: o Zlp Code: Z�j <br /> Owner/Operator: Telephone: <br /> Program Element: 163f& Program Record: L-4 3 J Inspection Type: <br /> B180 Posted 0819-11No Permit Posted es� No Re-Inspection on or After: <br /> OBS - TIONS.A RRECTI .E ACTIONS <br /> va D <br /> 14 <br /> — S C <br /> G s <br /> go a <br /> oca on" ""`�'�' ' eti'llierature <br /> codety Certification Facility Hot Water Temperature Warewashing <br /> rDate <br /> Hand Sink: -F Chlorine: PPMHeat: of <br /> arewashing Sink: -F Dual.Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: ; L` -�v Lv -, Phone: <br /> A <br /> /t <br /> Time In: A /I n Time Out: _ ! Page of <br /> EHD 16 n024 (2pg) 4/3!13 ,Y ' !� FOOD PROGRAM OR CONTINUATION <br />