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aPaµlN• SAN JOAQUIN COUNtf <br /> Z• ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �4.. �;;�• Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.org/ehd <br /> t!6 d•A <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: tea? Date: _EU/4`4 <br /> ddress: ,. I / City: Zip Code: 9wnerlOperator: l / I � l, I �1Telephone: &rogram Element: Program Record: /) n/ � .� Inspection Typ� CB180Posted ❑Yes ❑ No PermitPosted ❑Yes ❑No Re-Inspection on orAfter: + <br /> QGL1 -sin Gtcz/zoS cc Ivor Qh <br /> roo r ¢ rrr� 6A-M rin <br /> LIQ-e.S c,'? `'Yno h4nd,5;'14C % r ai <br /> Go 0 Lo r w -kr h{ 4el <br /> r e-n <br /> mzutp r <br /> zn v <br /> 0 <br /> ;Date; <br /> n and Sink: .F hiorine: PPM eat: .F arewashing Sink: .F uat.Amm.: PPM her: .F <br /> Eme <br /> Lln: <br /> itle: <br /> P ne:Time Out: a ^F Page of <br /> EH016-24(2i°p9) 11/2/09 c/\.l FOOD PROGRAM OR CONTINUATION <br />