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,oP4 .�oG SAN JOAQUIN COU1..,d <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.siaov.org/ehd <br /> ��FORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: -- nA Date: �a <br /> ddress: <br /> 5!5--.2.- LA-) A✓Kn%1 L+ City: Zip Code: 52,0 7 <br /> wrier/Operator: I�t1'i S } 11 Telephone: <br /> rogram Element: I Z(0 Program Record: P Q O 2 C4 0 ee Inspection Type: <br /> B180 Posted ❑ Remit Posted es ❑I Re-Inspection on or After: <br /> I I cue. c 5 rto+ Zrh LAI ri u2 too Ice r , - - <br /> OL+ ov-- )tee r 1.1 o+er7-t xL 1'ta r d <br /> wfo D S <br /> u- b tA a <br /> rz I.l r C' ry'1 a KQ rs lqa V-e- rrt-� L.d <br /> n z -3 at rtol cis -e-e- <br /> cv1.L l d4zs n3o r wczs rern,o v-e-d <br /> Sof 1,e„+ , pat lzh v ole d �-►+ <br /> s <br /> t L C e-+ <br /> Di alok O lOrnd-I-cr C0Y.A M-Cf- or.c 06CIOCiC9 r <br /> re n-� • 'Re n.e hr b -6o <br /> Item I <br /> r �.ofl Ce ✓ c37 F ac.r�� 3ti F <br /> oY Loole r 38 2 oor OtA, - r- -n. I T <br />► le O +� I1 F V-e-T <br /> a'ZD vwinu-k3 ir1 coo Ke r B+� I l 6-0= M l -.50P rn <br /> ame. •S and Sink: -F ..GLs -'f'900ppm 1& <br /> p.Date: G 0 <br /> washin S' k: a of t.Amm.: PPm then r7 <br /> IAfQ 4�.f� � r" <br /> ez 4 calved By I Title: <br /> H Specialist: (!L^ �`•� Phone: <br /> ime in: I: Time Out: Peg <br /> !ot� <br /> �EHD 16-24 (2^ Pg) 4013 V FOOD PROGRAM OR CONTINUATION <br />