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SAN JOAQUIN COLIN . . <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c .. a,� Telephone: (209}468-3420 Fax: (209) 464-0138 Web:www.slgay.orglehd <br /> �IPa'a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r Date: C Z <br /> Address: O City: Zip Code: 9S Z L- <br /> wnerlOpera r: v O Telephone: <br /> Program Element: Program Record: O 0 O C` Inspection Type: <br /> V6180 Posted D Yes © Rermit Posted ❑Yes ❑ I 7 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rno! <br /> ✓ ✓ �v - <br /> WA C <br /> /� �, +�" C <br /> w <br /> AA, ;n 1Y, <br /> sue- r. <br /> 14 <br /> Z <br /> S <br /> rrrperatute <br /> d 3rtc�tfiart: Fd ity <br /> Name: Hand Sink: of Chlorine: ppm eat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm then: IF <br /> Received By 1 Title: ✓ r U /` <br /> EH Specialist: Phone: t <br /> Time in: Time Out: I r '7, Page of <br /> EH016-24 {2ntl pg) 413113 7� F000 PROGRAM OIR CONTINUA ON <br />