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SAN JOAOUIN COLI ..s Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> ,�1FOIR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: LYDate: <br /> ddress: // City: rC(6L Zip Code: <br /> wner/Operator. cTelephone: <br /> Program Element: 7_7 Program ecord: Urs"Z�- Inspection Type: Tqokic <br /> 6180 Posted Yes ❑ No Permit Poste - Yes f No Re-Inspection on or Atter. <br /> OBSER.MTIONS AND CORRECTIVE ACTIONS <br /> W �' .. ' •,`c "-tel t f � . c v. i 1' -1 <br /> 7�f <br /> � �vryVvwN � w .�J waaltic.� ® !-ra�rd� f�i ��fry <br /> dln� vaIL {Y R/� W( I-vi !�!✓/✓ -efL J (Tile Q//C <br /> r m Gr ✓ 4.,T 4kf ,ffaLk— kf <br /> � 6 <br /> v ,/ � 1B :/7n �r n C yyr /vr tnf hdtivrc��c vtk- <br /> 4 C ctr + bl� <br /> hie /17z/ <br /> i 1L C <br /> - <br /> %l� R <br /> D 20'G <br /> wf Aafff <br /> ✓ IJ Z 4SInk: <br /> 4,nd <br /> !� F V,ame: " `F hlorine: PPM eat: 'F <br /> It Exp.Date: "L0 washing Si - .F uat.Amm.: PPM ther: -F <br /> I <br /> AX 1 <br /> eceived By/Title: /l�H Specialist: hone: <br /> !me in: r Time Out: Page of <br /> EHD 16-24 (2b pgl 11YN09 FOOD PROGRAM OIR CONTINUATION <br />