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oRAul' SAN JOAQUIN COUNTS' <br /> �:�a•Eoc <br /> b ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �4...... .; ° Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sioov.org/ehd <br /> A1FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C ..11-- <br /> Grcl4na tTD Date: /:)- /5 .// <br /> Address: 1 V9 <br /> .� ; I a S City: Tr Zip Code: 953 '74 <br /> Owner/Operator: Telephone: 4.3 fi=-7 7 <br /> Program Element: Program Record: Inspection Type: u Jin r <br /> 81110 Posted Yes No Permit Posted _Yes No Re-Inspection on or After: <br /> Al Serve 5 A <br /> f rUJtalt I I <br /> a ; Its nn h r oos h ; Ke ^ ; Jh ti w� der. <br /> i 00 d *1 I h ( (" i/oW"r' 'I 3 : <br /> 1 r akin roress II� .: •{o <br /> Under Celol J r w nn:r 0 CGr✓e c 4- o o/ <br /> SO nJiZ et- r w n rl ; t J 41 top ipr-,l <br /> A � ° r0 6 0 v c recl c <br /> W 9, k in loll, le _ <br /> larij. VIA CI0JJ, e,5 n SAn: l:Zer v,cl'ea. <br /> rr l la 101 q <br /> R r S -1 / rn b o v dare <br /> bel C4 /. d G <br /> G <br /> d or r r G 1 (n 1't lair\ a + <br /> be to .l l-C �G <br /> 6 O •IAn In P �ra,r` r <br /> 1 0 /G6r. 1 <br /> Cc i,re c,J <br /> all; (; ler - / 0 n t9 VA C / )'1' <br /> s cCAYVAI bl� l93 r a . P, I We, .n q1' <br /> cSAls of ba Ll <br /> ame: T S` Hand Sink: / 00 -Fhlorine: 'F <br /> Exp.Date: arewashing Sink: ra of pPm uat Amm.: ppm t:her: eF <br /> Received By/Title: <br /> l <br /> EH Specialist: Pho : /i / _ / <br /> imein. {- Time Out: / Gd Pagf <br /> EHD16-24 (2-p19) 11/2(09 FOOD PROGRAM OIR CONTINUATION <br />