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o„s roc SAN JOAQUIN COUK�4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> . .. < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209)464-0138 web:www.s6aov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r-e - Date: 5- Z' <br /> Address: \ City: k_�3Zip Code: Q SZ\-A Q <br /> caner/Operator: i" ,� 1� Telephone: 3(8q_ <br /> C l <br /> Program Element: `\OZy Program Record: OS 3 Inspection Type: <br /> B180 Posted ties ❑ No Permit Posted Yes ❑No Re-Inspection on or After: <br /> 55 — — <br /> k-ARF CL2 c e <br /> QL*i 42 <br /> 1 05 <br /> 4 <br /> of Q Qohern_ <br /> os _TVIIA� <br /> T �11F 143 Ibl 4ppm* <br /> F� l F -5�; X401ame:C �, Hand Sink: eF ori � at: .F <br /> Exp.Date: �-3 c0_1 S arewashing Sink: j'Z-1 of uat.Amm.: ppm ther: aF <br /> Received By/Title: r1 <br /> H specialist: - Phone: %Ab <br /> ime in: 1 ' j 5 Time Out: 1 t Page:ofZ <br /> EHD 1624 (2b pg) QW12 FOOD PROGRAM OR CONTINUATION <br />