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SAN JOAQUIN COUNTY <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •.'Ltq`�Fdfk��P.� Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sioov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Ci n - Date: i —177 z <br /> Address: 'j\—+-0 \ City. cmC Zip Code: <br /> Owner/Operator: d�1��r \ \ C \G }� 0TOck <br /> _,, , _ —1 -7 7 7 <br /> Program Element: �\�Oo2 Program Record: S e- c� (o 2 , Inspection Type: � 1 <br /> � <br /> B180 Posted Yes No Permit Posted Yes No v Re-Inspection on or After: �-x� <br /> OBSERV TIONS A S <br /> Ld <br /> e S42 \ - c k ' \-cel- <br /> 2 <br /> ,kir. 3 r\ <br /> n \ `f <br /> ti :n b <br /> a b. <br /> 1e 2 <br /> 5 <br /> b 5 <br /> �- C <br /> C O u <br /> 2 Se Q + C_ rc - 0c <br /> 1 2-q F 121'-_x= <br /> — '� re Z1 I= beer le - Sq _ <br /> 2-C ' r"k \ 4 1 rr� i <br /> mc)gs . \mor= d l '\ < 3 - <br /> Food Facility Hot Water Temperate . ng: <br /> Warewsshi <br /> Name: Hand Sink: 'F hlorine: Ppm Heat: 'F <br /> Exp.Date: arewashing Sink: i3� 'F eat Amm.: ppm Other. `F <br /> Received By/Title: <br /> EH Speclalis� Phone: 2(J9 b I 1 C_— 3 OZS <br /> Time In: Time Out:. 2 \-.l I MJ Page I of 2 <br /> EHD 16.24 (2^ pg)4/31 1 FOOD PROGRAM OIR CONTINUATION <br />