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f- <br /> SAN .JOAQUIN COUNT4- <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • .. x m Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orgleh <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: hCDS Datey 3e hZ <br /> Address: Z ALL City: Zip Code: '?- 57 3� <br /> L <br /> Owner/Operator: !m e K e 7i_ Oh?e 2 a Telephone: <br /> Program Element: ZS Program Record: T fS z Inspection Type: Q J <br /> IS 8180 Posted A(Yes = No Permit Posted Yes C No Re-inspection on or After: <br /> 4C� at4d Gto - cvns r - <br /> Flobr uq d-" Sk,-(VeS ZdAt&e cZP- <br /> too az�j <br /> f <br /> Name: arI Hand Sink: aFChlorine: ppm Heat: of <br /> Exp.Date: a2 l arewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title• <br /> EH Specialist: Phone: <br /> ime In: / /O Time Out: 070Page of <br /> EHD 16-24 (2^ pg) 1112)09 FOOD PROGRAM OIR CONTINUATION <br />