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aRauirr. `"' SAN aJOAQUIN COUN1W <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> 4clPC'A" <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: J - 1 - /Z <br /> ddress: <br /> . - <br /> ddress: a} I i°` S f city: 1 f ,:1 1. zip code: q537 (, <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> o A4,nt <br /> B180 Posted yes -. No Permit Posted Yes - No Re-Inspection on or After: <br /> iW r ins 112d W a u 4- a Pr = <br /> de Gi r, A 1, o K' <br /> f, ry-1s 7►Io n a <br /> re } IQCCI 4ion h a 1 - 6 G <br /> 0 . 4i f Provo, (orri 4 -0 2 <br /> 1 ; C4 a r 40 is d ; s <br /> t G {f <br /> U C,d 4 h, O 0, - i ✓` G ✓ca a C <br /> i r, C P,0,5 <br /> yr S 1n b0 4WOAn r r: 7 e roiJvP- <br /> a h 4" ble , ce >IG <br /> S 1 <br /> & We ! 11h., 0 n 1h t Co u <br /> s <br /> G re n <br /> ( rPC4- <br /> 7 > b., j r -� C o o/ <br /> 0 e) S <br /> a ! 4 ; r- re <br /> ( 1 handler Cc4rG n d r a <br /> C <br /> S . 4 rr e ui a e X <br /> Iu,� rp I r j 12- door ya <br /> rte.: <br /> ff IN 11 1 Hand Sink: 'F or ne: ppm am: -F <br /> I S arewashing Sink: =F uat.Amm.: ppm er: of <br /> Recelved By/Tll <br /> H Specialist: - Phone: �.. ✓. - A / <br /> me in: i ; C,- Time Out: I y Page'of <br /> EHD16.24 (2^pg) 11/2/09 J FOOD PROGRAM OIR CONTINUATION <br />