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SAN JOAQUIN COUNT <br /> q ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> G/FdR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> 4 w ui h 5 Tra r Date: J2.2�—/ <br /> ddress: 9 L^ sa City: ern Zip Code: <br /> Ss l c <br /> wner/Operator: Telephone: - <br /> Js- SQC/C/ <br /> Program Element: Program Record: Inspection Type: LIG` <br /> B18O Posted Yes No Permit Posted es :' No Re-Inspection on or After: <br /> II P 4ravW1 iA K (1,/Y) 01 irr. Prev. le /,90 'r,Ulajrr in WPP I! �+ <br /> 2 IQ P5 4r c C on door n C/os n pC l I-. <br /> ( rifferj in 2 U7tB.1/ <br /> F. 1 /1 1 Li 01 10, <br /> Ccrr cc j lc d <br /> r n(ni G i n <br /> San; )1Zr,- 100 ( // <br /> -i l' 1'i' y �/CI c/ <br /> S IG I V - do, r ay / <br /> Name: � ✓ n 'I t Hand Sink: <br /> J /00; 'F hlorine: /00 Ppm eat: aF <br /> C� <br /> xp.Date: arewashing Sink: of rust.Amm.: PPMther: of <br /> FEHSpecialist: <br /> EByy,/ e; - Phone: <br /> n: �Z Time Out: Page of <br /> EHD 16-24 (2-pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />