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SAN JOAQUIN COUKJ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.or(i/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r G e}l4 Urgn < Date: 7-11-1-3 <br /> ddress: S 7 2 S•r City: r Zip Code: S 3 7 L <br /> wner/Operator. _G r W H 1 , o Telephone: 2 U <br /> Program Element: li62 Program Record: / InspectionType: <br /> -� GI'u <br /> B180 Posted a Yes Li No Permit Posted a Yes ❑No Re-Inspection on or After: <br /> U Cc lr YLP <br /> 1 5 r; V f r 4cf 5 rinnn ; A y )Q;17 <br /> a} Or beaw Ll <br /> .j 1prep14-if 1 <br /> dW <br /> UGC' YA S..k.d ( „ r • (9 p0.V1\ '.�+u;r} ,CI -; y <br /> ...:..,m. ,_= Food Safety Certification 7HandSink: <br /> __ fr r_warewashin : <br /> Name -F hlorine: PPM Heat: of <br /> __.. _— - - —PPExp.Date: ng Sink: -F Ouat.Amm.: mlo <br /> they. =F <br /> Received By/Tide: ! .. <br /> EH Specialist: V' Phone: v 16 <br /> �/0S G Si <br /> Time in: Time Out: I I 7� Page of <br /> J <br /> EHD 16-24 (2^ Pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />