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SAN JOAQUIN COUNIt" <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �4..,.... ..�;P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> �/POR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J O r 2' TG na!1 1 5(u U/;r Date: <br /> S <br /> ddress: u 5 1 City: Zip Code: <br /> T. CWC <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 8180 Posted Yes _. No Permit Posted a Yes ❑ No Re-Inspection on or After: <br /> IVE ACTION <br /> pood C• }e r5 k A Ve S r fe e S . n <br /> K. <br /> bnVe or . dtA Ce . n We. 1K <br /> S +ore ¢ 9 25 be fo 0 re cad Jo -eaa 0c/5 <br /> Cr, .ec 4vdo <br /> LL <br /> 3 ID ' Sh waJn, a D 1 r' IGICK5 S ' '7e <br /> 10 u J : I GSO po <br /> NQ 4e ra r 1' 1 v C4J 0^6110r <br /> ch -� -Salo d 38 True (Z-c/Oa�� U ' _deur % � <br /> ore A <br /> u e i rr ] I' ►. yr <br /> 44l q 1� I 1 �ur %1- Oor) <br /> Name: A h Hand Sink: %�J; "F lorine: 5 U PPM eat: 'F <br /> _'P.Date: ({, 3 S arewashing Sink: /123 <br /> 7 7 =F uat.Amm.: Ppm ther: =F <br /> Received By/Title: o�J <br /> H Specialist: Poe: <br /> ME]In: 12:�f Time Out: I;LI O Page of <br /> EHD 1624 (2-pg) 1/18,x12 FOOD PROGRAM OIR CONTINUATION <br />