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SAN JOAQUIN COUNTr <br /> ?t ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www sioov org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A l r . .{- - �' Date: _ _/ 2- <br /> ddress: J/ City: I E4 Zip Code: C/ S 3 7� <br /> Owner/Operator: Telephone: 633 - 3 t3 <br /> nh !ru n <br /> Program Element: ' (DC Program Record S R O U . Inspection Type: f <br /> S6180 Posted -]Yes :I No Permit Posted ❑Yes [] No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS ` <br /> i SO 01 G Y n 1L W OO cr"I <br /> `2 0 P <br /> ✓; � ; ✓ r Or SAC'./ iee- ' 000 <br /> 7l; 0 <br /> Not a for F - ccrn <br /> aY 0r P bc✓e G F• p C 1 4s ce <br /> U N G A � F^ 4r. <br /> yj eelb, <br /> r0 ✓. Af l IJ An <br /> p r . <br /> PS 'OG W G I✓71 W C, P y Pr C✓: Q <br /> 2 er <br /> 4 <br /> C e -'PS 7 [ C _ - /2 <br /> f i5 4 I N TG ( r 1 Ui F IueLi <br /> ai <br /> ame: Hand Sink: O 'F hlorine: ppm Heat: 'F <br /> Exp.Data 3amshin-Sink: S OsF uat.Amm.: ppm ther: 'F <br /> Receive y/Title: 1 <br /> EHSpecialist: _ Phone: <br /> ime in: 3 (.i Time Out: ;U3. Page of <br /> EHD 16-24(2n°pg) 4/9112 FOOD PROGRAM OIR CONTINUATION <br />