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oprxl'•Ih. SAN JOAQUIN COUN.. <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> :< <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c r Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.siaov.org/ehd <br /> 9y�FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> E <br /> Facility: Los Iro t /0 �" Date: 3-/5.O1. 4 �h city` Tr C - Zip Code: 9'sr 76perator: Telephone: V y - 9 6 i- <br /> Element: Program Record: Inspection Type:sted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> i i f fill., a .l r' i 40 <br /> re f: 4or l l !' Go/r J o �/ <br /> i { / Aiwa <br /> $C or d �rr S <br /> ' O lOn� // 7 rt <br /> 31 F ; h i 6'W4 of b I c PA. <br /> 1 � ; A �0 / r rc 4. <br /> 97 rs 20 / in <br /> S P 4c+ b S: Aw as ho I Wo b4"tArd off <br /> ; 0 )a 4 ; on. Pfo / 1 jer, <br /> L; f / I <br /> a <br /> Sa Oo <br /> 't A04 {cl �S•G <br /> jGCV-C4jr Turbo, nir d ) yl f <br /> rExp. <br /> : •,--OS and Sink: GCS of hiorine: gow*208pm bes�yr r 'F <br /> Dale: `'Z- arewashing Sink: /1G =F uat.Amm.: ppm ther: =F <br /> Received By/Title: <br /> H Specialist: - Phone: l!/ ' L?AK Y <br /> Time in: Time Out: `! :3 G Page of <br /> J, <br /> PRO 16-24 (2w pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />