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SAN JOAQUIN COUN•r(( <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> C)f6•AiN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r , te 7 ! . S Date: S-Ir-11 <br /> Address: I O ( W. Iv> } V ,y City: Zip Code: <br /> 4 t S3�L <br /> Owner/Operator: 'Y Telephone: <br /> Program Element: Program Record: Inspection Type: Uv� <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> —nBSE90TIONS AND CORRECTIVE A -, <br /> CM huve . 1 a� <br /> ors 9 0 S e1 r 411,1 <br /> ee <br /> db OCIr I : n l o o t 40 0/0 se <br /> scif f� be <br /> ra ✓: de I n I w <br /> U-u; r( f cc,Ix n. (I-doo.-) U .(.( I d , X17 <br /> T(u cc , ) y� <br /> '.11 7emperat <br /> Name: A r U h U • and Sink: UCG y 'F hlorine: PPM Heat: .F <br /> xp.Date: arewashing Sink: I S of uat.Amm.: PPM ther: of <br /> Received By/Title: <br /> H Specialist: one: <br /> Time in: 11 U Time Out: Page-of <br /> EHD 16-24 (2n°pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />