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a4Pn coo SAN JOAQUIN COUN.,1 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siQoy.orCl/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility' a ;G�l rre S-lGUra { Date: <br /> ddress: Cit : Zip Code: <br /> 'SyJR <br /> y <br /> wner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> C ,i/10 <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> 1 lA runniAlf S6'F and prepa <br /> k6- b it (Scid 4h Slf . 1 I 000( Sb-` <br /> 0 r Q ✓ d 5Car toi rel r <br /> 1 o r 6e low 14 rr Coj <br /> d qht ba') R -� ysF ReaC -'iA (ChrrSe ) <br /> 01 1 f �n 0 A ! oar crnnrr+ t <br /> 31f . A; fl 4rAin re, ca 4/1'f. <br /> I Wee <br /> 3 doc' Csgf pu a4rr a � 4 amiZ <br /> 60 )la& CleaNI& A <br /> [ 12 r ; ✓t r" C& a Re r4')V 4L"ai <br /> 6 ; +C he A's pgp,, 4CUte I dj5PPAJer, emply. ro Jeri/ <br /> i ce ro G'C h;"Ke Clean 4,4 <br /> ho Je; IIda 5 r p, 01/1 Cod yo o J3 in S ller lion's <br /> - oar <br /> W, I5014d ) S - ru <br /> sse,i, m5 a _ _ fs � s8'P <br /> I door rder le �f3F &'fi4h1(—S6N �f SI <br /> AlorlA �f ll' c rcl P, _ �z'� <br /> `ty Certification Facility Hot Water Temp :a. @ <br /> Hand Sink: Chlorine: Heat: e <br /> ame: _ ._ .__ _.f, _-F_ L.. S` i i _.PPn'_ F <br /> Exp.Date: L4 a S Warewashing Sink: 110 y =F Ouat. Amm.: PPM Other. eF <br /> Feceiveditle: ����Phone: / L,�/AIV^ Time Out: '1 aikG3 <br /> page of <br /> EHD 16-24 (2^pg) 4/3113 •G 0� FOOD PROGRAM OIR 0010NUATION <br />