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• aPAulK.c SAN JOAQUIN COUNTY <br /> zK ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4clFdk�`4. Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: VAt, Date: <br /> Address: 2 oZ I I Y <br /> I S- V4,v <br /> City: L Zip Code; C��' <br /> Owner/Operator: I Telephone: J <br /> Program Element: S Program Record: 0/6 v Ll S- 7 Inspection Type: <br /> 6180 Posted Yes No Permit Posted (Yes ) No Re-Inspection on or After: <br /> TIONS A <br /> �r\ vi S S <br /> P <br /> PV o - G� a <br /> " Vit- X77 e,_j Y q .-� <br /> N � - <br /> i H ki <br /> a c H 3 5; a� e �• /,.�tel G'� S i h <br /> w'75 <br /> GP,7h Zia <br /> u <br /> St N (�lS0 <br /> A af Pli Z <br /> o � <br /> nh <br /> ✓_ or o-n` n-, <br /> NEW <br /> avl i +ice c <br /> - n <br /> C-o- j O <br /> '7 <br /> Sf S o G <br /> scility Hot Water Temperature Warewashing7.„ <br /> Name: a0 Lt A41 u ah and Sink: L,�'1 �F hlorine: S 0 ppm Heat: eF <br /> Exp.Date: 2 Illyarewashing Sink: l9%O of uat.Amm.: ppm Other: of <br /> Received By/Title: <br /> 1 <br /> EH Specialist: Phone: _ / <br /> Time in: G Tlma Out: a Z Page of <br /> 19 <br /> EHD 16-24 (2b Pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />