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SAN JOAQUIN CO6,,WY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U'(vhh'ed ` Date: t C' <br /> Address: UI <br /> , C✓Ic <br /> City: Zip Code: <br /> Owner/Operator: / Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 8180 Posted 0 Yes 0 No Permit Posted 0 Yes 0 No Re-Inspection on or After: <br /> P/Iulal <br /> G k v 61 a 1A- c rArW.�✓ Pat4 /A Jit is <br /> vdYNc j[l►1hple ✓7 �t'Ce <br /> V C th,, i 11 Co a <br /> e <br /> a <br /> la Lf VUs <br /> I ® v\ L !1 oI' "dam It r <br /> 64d vka <br /> � e <br /> Grc <br /> Name: and Sink: "F hiorine: PPMeat: "F <br /> Exp.Date: arewashing Sink: 'F uat.Amm.: PPM ther: of <br /> Received By/Title: <br /> H Specialist: Phone: <br /> Ime in: /z V Time Out: PageZof <br /> EHD1624 (2i0pg) 111109 FOOD PROGRAM OR CONTINUATION <br />