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aaR0. .cPa SAN JOAQUIN COUNTY <br /> y 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 /> �/Fd1t� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r ck (4 S . It 1 S Date: <br /> Address: ) 4 ()l <br /> r s� kg City: T 7 <br /> Zip Code: r3S3 7E <br /> rq� <br /> wner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: OU 41 'C <br /> B18O Posted Yes No Permit Posted n Yes No Re-Inspection on or After: <br /> S AN2ififfifffil E ACTION <br /> r'i n ; n a ;n �r+in c14 o <br /> G,-/1 S �' 1 /� C 'riU rP CrG� S• 4P. <br /> a111.nln4al /- oOr 39 1� u • CA.r r0 -dcor) l � <br /> CIOor /•/' v -air Rrf.0 <br /> ame: and Sink: !G "F Chlorine: ppm Heat: eF <br /> xp.Date: S , areweshing Sink: ZG •F Ouat.Amm.: PPM Other: eF <br /> Received By/Title: <br /> EH Specialist: Phone: �/b p-.J�(,g' <br /> ime in: : UU Time Out: Page of Z <br /> EHD 11=24(2-Pg) 41313 FOOD PROGRAM OIR CONTINUATION <br />