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SAN JOAQUIN COUNT.' <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.oro/ehd <br /> 4clila >r. <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: i K . i< ken Date: 2. l7- 12 <br /> Address: $ 3 4 W 11�—`' 5 k city: I r u r zip code: 5 ;1 <br /> Owner/Operator: p'. r r n G Telephone: S 3 ,1 -2a. 5 IIS -I <br /> Program Element: z 5 Program Record: ,� Inspection Type: C �. <br /> 6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After. <br /> dl 1; or1S C,rr,,C4eY excq4m <br /> (� <br /> 1 Gore l be 1Litan prp p 1"e ii: er, 40r- <br /> Cin ere If S44 4 '.5 rac4: 44,Pdo y Cor ree 4s, el <br /> 1 ; n G/o 1, Ori 4e <br /> Cprrtc ,fed <br /> pat; Al rA as P If r ,r VC' cc r lrita n <br /> S . lit O - 2o0fPiz Chlofirg- <br /> MERVpi»pero ure'-w <br /> Wa"shi <br /> Name: R C G;V� foHand t Sink: `F hlorine: ppm Heat: -F <br /> Exp.Date: I d. 9-� arewashing Sink: 'F uat Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time In: t 30 <br /> Time Out: -s o Pagef of <br /> EHD 16-24 (2-pg) 11/2/09 FOOD PROGRAM OR CONTINUATION <br />