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SAN JOAQUIN COUN' <br /> `J <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209) 464-0138 Web:www.swgov.org/ehd <br /> 4t7cbN+` <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Eof : �� Date: 7-/ <br /> nr _ <br /> 117? Com` frac Zip Code:: Telephone: <br /> t: Program Record: Inspection Type: a /Yes No Permit Posted ❑Yes []No Re-Inspection on or After: <br /> PAAd S ; +1 lGed. e% Im1neel a1/ - <br /> ocK h 1 r. 0 1 <br /> wash hcimd S: rje. OrrPc � �o c <br /> hv+ r✓I; . lr. rrl. h ;co4,vo i Sic e1 0 beve <br /> 004/ pfcdods nnd WclrewrlSh - n5; <br /> flare 011 C 13 Gvn. hj an 41 M, ol, IQnion <br /> b n -I a OGcl r (• C1S Cr rr7eni <br /> S <br /> 61 ` u n r l d r6- . <br /> has bt4 . d u v, a h bc4ac <br /> n � oc <br /> N q --a re d on 40loor. e-/0 vo 4e 0 // <br /> 2 h e1 S : X i / PS 6 � � hc r n01, erred J �� <br /> r q r 4Gb1, 5 <br /> e movo I I e 5 { Co r riet <br /> ac A p d 40 b I <br /> Teri r, - hC, l <br /> P M rle 4 L, d, ,l A6,24%, ova d u 5 / <br /> C, b lz re <br /> Sn. 4L > b �.c � • /�I -SD loran <br /> Tru I c�ocr ) 1 r rue r <br /> Name: r Cl G f n c and Sink: I C)o ; o f hlorine: s•o PPM eat: OF <br /> Exp. Date: 1 cl i5- arewashing Sink: I O 7 of uat.Amm.: PPM <br /> then op <br /> Received By/Title: <br /> EH Specialist: - Phone: ,/ <br /> Time In: �:�S <br /> Time Out: Page of `? <br /> EHD 16-24 (2-pg) 419/12 FOOD PROGRAM OIR CONTINUATION <br />