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y4Ra IN''•F.p �,. SAN JOAQUIN COL,..dY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4�iFo Np Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigoy.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Cab CAEZSl. Date: 5__a_ <br /> Address: G _ lil.J\ � 0,rn'�" L_1 City: C J _ Zip Code: 5�A <br /> Owner/Operator: -I- �n C1 VTCJ Telephone: 4o <br /> Program Element: Program Record: f� O t b Q$ Inspection Type: V,.H Y?-e-, <br /> BI80 Posted Yes _i No Permit Posted es No Re-Inspection on or After: l.C.lP _ i.• e <br /> SERVATIONS AND COR C �� <br /> e <br /> I a dooY 01LtJ2 COO(ar 15 r/AD+ cetAIrl h • �l <br /> ° O Y LO t-2Y oL* 4i r -- ovir de -6�rrnorI-t+ers al <br /> z lA ( Yum s u rzci h <br /> rnot Lt 0.Y U n ✓ n t-tC :i: n ro ui <br /> V b V <br /> r& Sl -4 d' a r 0.b50 r <br /> r 01 vick wiL+ -r st m.+ Loss +h-a i- <br /> Gl -cIl nsi b&. c4- rtooL 6s -4- <br /> R Vi <br /> D c� %rts r1E, no 4 L a b-e-Led Fn <br /> M" -v <br /> l,i <br /> r ci <br /> 1n1 rs 5'iL rax <br /> da4vt i I -a.lG Co -e-e cLeA <br /> nc34t + 4fess -ti -e <br /> Rdr <br /> zr ' r- a: C® tb <br /> b 'v clOo r r LI4 <br /> Zdc»rfil�uevy�in 3biLP6Uad ma qk;+ <br /> 140+-clos I 15U"" oeho Chee..Ve <br /> LJ-2_'F <br /> Namer <br /> . + C Ca,. I _ Hand Sink: I�5 L1Z'F 4�S vie. �.t lOD pPm Hat: f2,p^F <br /> Exp.Date: - _ 2 lK arewhin ink: 1265 -F O t.Ylmm.: 900ppm ther: 'F <br /> Received By/Title: I <br /> EH Specialist: Phone: r] _ <br /> Time in: O _ Tlme Out: � I !!I� Pageaof 3 <br /> EHD 16-24 (2^ pg) 419/12 'f FOOD PROGRAM OF CONTINUATION <br />