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SAN JOAQUIN COUNTY <br /> a' ?K ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> agclasar P Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: All,. 1 Date: S.2 3. <br /> Address: a,3 y rW. I tS S y City: Tra r Zip Code: 537.6 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> C' <br /> 8180 Posted O Yes 0 No Permit Posted []Yes 0 No Re-Inspection on or After: <br /> - q ; n K a c 3 r 40We /S / rt Com <br /> /0w drain ; n Cc <br /> 3 1h S1 •re <br /> C 10h S 1 1 <br /> r r I• n, h <br /> Ir I G1 1 er; a I dov <br /> 1 re Z4, 4 0a q Wh ba; 1t <br /> 6 C / <br /> 60 4 <br /> i S h Wo-sher hQ5 <br /> Lo Sani ); c s: <br /> ;1 rr II <br /> aA d PA LOO 3 - �G <br /> S C rrnC Wed. Rep jr, ft i A f a KS <br /> n-.5 r Ps 4rac/rt ja e 1ls 12 q 4000.5 in n re r. <br /> rrt c ) 40clo <br /> Ip r r, <br /> �OrQ r4w e bel re ad - 10 - ea I .l' o s <br /> o d c, <br /> 11 a lT to bflj so y,$ Wf rr'!: arAJO d r 0 cM <br /> 4frA Per^ 1arr. is lwr a/ 1WIM r a/: a"4 1 r � � d• <br /> pIC'. On 1 s f bleat h lr S a n • 1 ' i�e, 6 ieRe4 C <br /> 2.00 1 M C h 1 <br /> T %e da 39 ` A Scrnd r <br /> Half a 41t -7 41 /'P <br /> Name: R C G ri U Vr or) n Hand Sink: o 'F Chlorin� Ppm eat: eF <br /> Exp.Date: / C is arewashing Sink: uat.Am' PPM <br /> r - <br /> ESecialist: <br /> y I Title: <br /> Phone: f Time Out: 'I • Z�, Page of <br /> Al. <br /> EHD 1624(2-Pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />