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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • �q.._ ..�P• Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.ora/ehd <br /> 41FOM1~ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 45 /CF f &IV5 Date: <br /> ddress: Iynl 8 City: Zip Code: 937r. <br /> wner/Operator: Al"MUDI 04RIK '$ w $'g2A$JIT /� Telephone: —/(p:5 <br /> Program Element: IG l7 Program Record: ,�i8 Inspection Type: ROa n, <br /> AOW <br /> 8180 Posted _Yes ❑ No Permit Postedy Yes c No Re-Inspection on or After: �^ <br /> / 1RPRc�dM7-5- 4aib 5o ON 5W4W5 Gu1TN D 17'&#W 5fPRR/i7F <br /> omb okn II m /7&4S IcMM,1014A 0iW'+rt 1-5 /t-f4Sr Of 570ftb <br /> H v f -jk-k %�wEl D 15fI!E� &R46 F 4/.6b <br /> r-04*4.5 r- PkoPtk4l D1ssfuf vR2Ee[ � <br /> IvtD t 51'/Pers A&1:) Nkrs j3f9(rS I,u Rl� �Ta1PEi9<t !3 ,vEp <br /> &J-K PS Iou A gn2g&7-*', EA e4e- AIVO Af- /3 e <br /> W 1 TN P4 4 1/Nb f VrSf Ta MAEa4 r <br /> pamne: <br /> Dooe .fit 7WU 36 <br /> and Sink: �S >F hlorine: Ppm eat: °F <br /> te: arewashing Sink: /S 3 of Quat.Amm.: ppm er: of <br /> E <br /> tle: �L <br /> Phone: <t O �3 (YA f 5 Time Out: z:5 S =Pag9XjF <br /> EHD 1624(2d pgl'11121)9 F000 PROGRAM ORCONTINUATION <br />