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Q�aula•.o SAN JOAQUIN COUkjY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> {�iFd �a Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sioov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT �berf <br /> Name of Facility: 11 o_zi CA" 5'l P-0 Date: <br /> 5-13 <br /> Address: •q YriiLPI FkoLf City: 6+0 Zip Code: tJ.�-7 <br /> Owner/Operator: Lt <br /> +' <br /> 1t kti Telephone: LI-1 _ ►)/)/) <br /> Program Element: toZ1tO Program Record: R O 140 O Inspection Type: PLoU-fi n{. <br /> SB180 Posted7 Yes No Permit Posted 'Yes No Re-Inspection on or After: <br /> OBSERVATI RECTIVE ACTT <br /> t "T1,-� 1 cloor 5 I v-er L L dr a✓ 'Tv r hc,7AAr4Ct4,0)1f:zSow-c- nod t,d h . 6_*_ rvv4,y, BI2 w' F 12-IP Qrnt-1 a-- fin -e- `� seir� <br /> otn a e+n.e✓I rf d C.oVc <br /> OL neuen� ho Ha ec-�s <br /> e no-1' C-c f I44 rc A v n dLy ra.f!a K0 o d <br /> t e- n Al r - Li-t r►1 <br /> Coc e <br /> �.i h t o r r 8-tea�' ree A:X- lis o <br /> 2w <br /> C&jaA <br /> -I-,�•t r rn <br /> vu ire- r V-ed too Ys Glr-e 'bar <br /> r_nrtcx-e.- - 1ris- vL V Ce rzn rnA c, +K Lt s 6 Aa--4- <br /> t C, 01 nol ktq ve 3 ZA,elh CoV-i n Co r bij <br /> uYS 100Y3 are ve r Fi +a'e I c-Lt Q n <br /> L'_A1 retylp 6i AZs c2 n'4- w o rK a-ce <br /> MEOWIteMLocaUon Tempelakre Item/Location Temperate' - <br /> k-1LI00r - I—t$- `itj`>< <br /> cr_ 110 t- /`6D <br /> o y- 'r 3q OF 2 a oo --To r bo A.+ r 4 L1'G <br /> r� q0t (z rs 33'of4 <br /> ame: ` 1 Hand Sink: qb 'F for e: �r Oppm t'hjojas4r VCp <br /> xp.Date: 12 ,! washin ink: 'F rust.Amm.: ppm er: 4- t o dF <br /> eceived By/Title: / EGD <br /> 77m 777 <br /> H Specialist: - Phone: <br /> [me in: O, Time Out: a loo Pa of ¢ <br /> EHD1624 (2^pg) 4/313 FOOD PROGRAM OIR CONTINUATION <br />