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,ve4 ..FA` SAN JOAQUIN COUNTY <br /> ?A 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 /> C/FdR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: &o Date: I 7777O <br /> Address: 1 0 5 r/ C( A/w�, City: Zip Code: <br /> Owner/Operator: Ff f z) t— co ✓ij Telephone: <br /> Program Element: /! 'N Program Record: - S 2�-f ` (� Inspection Type: <br /> SB180 Posted V <br /> es No J Permit Posted Yes o Re-Inspection on or After: I t q <br /> SERVATIO TIONS <br /> �t" O W— C-ekVe- I i�U✓l <br /> d— aoa I LA lQ <br /> r-a <br /> � �dLe 1 C�2 tS sink— kw CfhG�IS I� <br /> W-ov c G <br /> ►�tv� <br /> L pvLj <br /> S oqj At M !�l U <br /> i rU'�1 INLIL - D 0 <br /> � c � 0 <br /> w vi1 <br /> SD v i 1^ ww'W�w rirvm - <br /> 3 GJvv,-W I w <br /> I w� <br /> l <br /> L V` 1 <br /> Nt- ho La <br /> v ( ✓ <br /> ✓ n�-rtit -- ✓t. INf< v �- <br /> cUld G�vpv>l��- vane- til. ! <br /> re C tc `eti ha- D S 1k-'( c(W ,.e cfl d <br /> d,, Carotica Facility Hot Water Temperature 7ewashing. <br /> Name: �. G a .Z Hand Sink: aF hlorine: ppm �rth-e��r <br /> a -F <br /> Exp.Date: arewashing Sink: =.p Dust.Amm.: ppm of <br /> eceived By/Title: 1 <br /> EH Specialist: Phone: 30&.. <br /> !main: Time Out: C) PageZot <br /> E 16-24 (V pg) 413/13 l/ FOOD PROGRAM OIR CONTINUATION <br />