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SAN JOAQUIN COUN-rY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �aiiFoaN,p Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.siaov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - p�; Date: _11 <br /> Sri Q til 'i L - <br /> Address: j I W, u 1 I 11 - 54, City: I f c Zip Code: 755 -76L <br /> O <br /> Owner/Operator: Sri u T Telephone: $3 U_ 2 C1 v <br /> n <br /> Program Element: 1619 <br /> Program Record: Inspection Type: r� <br /> 8180 Posted I Yes No Permit Posted i.Yes LINO Rslnspection on or After: <br /> 77 I:o <br /> 6� F 1 i 010 C, P o.:r Or: I <br /> n VJae <br /> a; le br&Wf b y U of . n defil lace ;r it I <br /> fir. k <br /> a I k-: rvi;s S; M ►; h. �uce <br /> tit $ a I -Go S rr ,cAVd <br /> ce 10 5 for oha . C4 r— 4- <br /> are' ', n, 40 CAYav'rrCleof <br /> 4 WCqI Ado, Ifr r CA Cle^J e r <br /> c:al "4 <br /> 1 c t-0- rcLA W, 11 Occ - <br /> pExp.Date: <br /> s 3 1311 1-1 N11-r- <br /> perature S-�,7, <br /> Hand Sink: of Chlorine: ppm eat: of <br /> arewashing Sink: of uat.A{pm: J J PPM ther: of <br /> Received By/Title: <br /> �^ U <br /> EH Specialist: Phone: <br /> !me in: Time Out: I_UO J Page of/ <br /> EHD 1624 (2-pg) 11/2109 FOOD PROGRAM OIR CONTINUATION <br />