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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siciov.oro/ehd <br /> 9cicbw� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: I <br /> o U7- w GYsuR7't OL � N S'I " City: Zip Code: <br /> Owner/Operator;: CJ c,d� Telephone: 837-/95r3 <br /> Program Element: 11123 Program Record: XeoY1iG Inspection Type: <br /> 8180 Posted Yes LL No Permit Posted Yes ❑ No 7 Re4nspection on or After: <br /> JFND$rNK ppRft 1)t5('1g Eek 13 AWI AQq E r Q Q4N /J�+A+t An/Ft <br /> A gWr DSfn+K 37 12 P' 1Dl5AFA4ru- WAS" M <br /> P (C- 0600/DC 30AP IAJ A Pk 'V5F - 5 rlatJ <br /> I MAI D(/dTE <br /> f3MA NANS,A))KP/jfeR X�WCL 1; `36 NSF2 /5 Ewl C tr_ Ixflwb- <br /> S190 71'i?fl1J6. BWCL-M 55t&/Mb &,&4 j)0wvdM7tt5 ae7WIPE.V 4 <br /> oT a C'oR2EG7 K'1/�9�Dr <br /> dpu VT <br /> r <br /> u 7 KE '4r 5//- aR RIF sera /w+ tl a <br /> 5T4� I r >7 / tnr,yrc 5v o <br /> HAS 2 / A65 D R14A D /L+ I T 70 7'b <br /> 195 Ro E2J p r5 (pau7f-R7aP ?5 oilqgx /7- 5n'roc7 <br /> K S N46445 AJC DR 3 <br /> M/ H Rd12r3 cw rr 4� ry I Dr v <br /> F3A �n p'PCP' Tek R6ft12,. R 4� <br /> RECCa` 0104r <br /> o !Z 15 6"-5 N S 97- P40M M Y TNE54ilr EGGS Mas i <br /> *1I '.9r %T1 OR Coottwee , dpeRK'► //y'WzA f"'L <br /> Of�tu4A dUuk t&65 /N WAtri S7bRF /U oFiCA Se-044CO e04'rA'NFri:S <br /> / NO T 57' S7Rf S fZ fug SpNm � uFc RavrDE finrv/ED!lg7tt <br /> E>KPIe -M 1cA <br /> Rug 3c> <br /> B► RCuurE ,rn ! 147 <br /> Name: S9A1 15�K L4do1� and Sink: z7 ^F hlorine: PPM eat: 'F <br /> Exp.Date: /,,�j_/2 ewashing Si 1z� �F uat.Amm.: PPM <br /> ther: ^F <br /> Received By/Title: <br /> EH Specialist: Pone. <br /> ime in: D:oTime Out: 77 //:��� Page 1ofZ <br /> S <br /> EHD 1624(2n°pg)'11009 FOOD PROGRAM OIR CONTINUATION <br />