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SAN JOAQUIN COUKI <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.org/ehd <br /> �I FOk� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f, Date: <br /> Address: '1 3 L� D�( mud/ City Zip Code: <br /> caner/OperJator: �.���-e� TQ N I ✓ 1"elephone: 3(p� <br /> Program Element: �� 3 Program Record: d 1 6/ c. Inspection Type: ✓ GL&*Le <br /> s818-Posted Yes No Permit Posted Y Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORREC V ACTIONS <br /> .a <br /> S i <br /> kas6 Llvt iyG( ��t (LL�� VWl IY( /CI .�tGv <br /> 15111 <br /> to ! <br /> �Ct/J`L Vol u ✓!Ok- n N l ! C ✓ <br /> � rZGbtc u k(1 lam' UL(G lyt ✓ .( i� <br /> Ltr1 ✓u `1 G d✓ LWe� <br /> II Ub ' 1- v. akAwrlh 3i F <br /> flits Hot w <br /> ome: 4 nQP— roe SIJ and Sink: i-3fJ eF hlorine: PPM eat: of <br /> xp.Date: ` f v /o" • arewashing Sink: of uat.Amm.: PPM then. of <br /> Received By/Titl <br /> EH Specialist: Phone: <br /> ime in: ( Time Out: \ Peg of L <br /> EHD 1624 (2-pg) 118109 FOOD PROGRAM OIR CONTINUATION <br />