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SAN JOAQUIN COUI1.I( <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> e: . < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c.., ~._. ;P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: OS J G 11. .E Date: `j _91-/ c <br /> Address: — City: j r6- c. zip Code: S j . <br /> Zvi r, Ld <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type:2h <br /> BI80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> 1 Tcc SCcc s OIN i CC. Mt+C hr S + cr <br /> I c b Ec Onr. ( c r-ec l 4O[1`5 <br /> TVUc (m ; 114)- 3S F WAI1l n / <br /> .S 200 � WutMc1- liCr Troone, (3-Ya-)- 41 <br /> 7-ka41be - c/uos if iU " CM;l r f <br /> up 14 3 F /3S'G <br /> Wc, rr-Oir 135 ` <br /> G r rAL /' �/j,�r/�� W Ci r/Yl e r <br /> Name: Pr 1 5 I 141"4rnr..j Hand Sink: 1OO.Y -F hlorine: ppm eat: aF <br /> Exp.Date: y- /y arewashing Sink: f 2 1 eF rust.Amm.: PPM r <br /> then. oP <br /> I <br /> eceived By/Title: <br /> H Specialist: Phon " <br /> ime in: X91 Time Out: Page(2 <br /> EHD 16-24 (2m pg) 4rN13 FOOD PROGRAM OIR CONTINUATION <br />