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SAN JOAQUIN COUNT`r-J <br /> ' a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> . ..• ; Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s' ov.or /ehd <br /> ��rFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: —ADA/Z <br /> Address: City: �h C Zip code: <br /> Owner/Operator: a Y1 'M O Telephone: g —D6 3 <br /> Program Element: 1 <br /> 6 O Pregram Record: s le,06 Inspection Type: u/ <br /> 5180 Posted Yes �� No Permit Posted Yes C No r�f� I C ! Be-Inspection on or After: <br /> � x � _ <br /> 0't <br /> - <br /> a �� D a K <br /> ureO� Sa a.r OF 7l'I ,Cf isle �a <br /> r- piq Ilk,'h Cap 3�` r- Ae <br /> 3r- f - w 3 r42 h �0/ <br /> Hai° a T <br /> Name: M 6v J Gt ! WI•Ci1 e Z Hand Sink: O 'F filorine: ppm Heat. "F <br /> Exp.Date: Fe 3 arewashing Sink: of Ouat.Amm.: ppm Other: -F <br /> Received By/Title: �C U <br /> EH Specialist: Phone: <br /> Time in: O � DA- <br /> Time Out: Page of <br /> EHD 1&24 (2�pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br />