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SAN JOAQUIN COUNT. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ur4""' Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s' ov.or lehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q Date:S <br /> Address: rC City: l Zip Code: Jr� <br /> Owner/Operator: C A,% /� Telephone: <br /> Program Element: !j5�5 Program Record: Pr`O Inspection Type <br /> 8180 Posted Yes U No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND.CORR CTIVE ACTIONS <br /> L <br /> � P <br /> �Jj / <br /> �0 s- top _ tab . <br /> _ C <br /> C1 <br /> 7 1.: i� � t r p by VV G o <br /> z4- - �2 <br /> lnjr"W <br /> m/t..ocation' <br /> wpm <br /> lgfpod Safety Certification Faaliity Hot Water Te <br /> Name: Hand Sink: F Chlorine: ppm Heat: `F <br /> Exp.Date: arewashing Sink: F 4uat. Amm.: ppm Other: �F <br /> Received By 1 Title: <br /> EH Specialist: r C7 Phone: <br /> Time in: Time Out: �� Page of <br /> EHD 16-24 (2'"pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />