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.. .II <br /> SAN JOAQUIN COU ( <br /> WE ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sogov.org/ehd <br /> 'dtiFa'se�' � 4 <br /> f <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r Date: <br /> Address: City: Zip Code: <br /> Owner/Opera or: LA✓a Telephone: 3 / r. <br /> Program Element: � jJ 1 Program Record: r Inspection Type: ! <br /> 8180 Posted ❑Yes ❑ No Permit Posted ❑Yes n Nb !I Re-Inspection on or After: <br /> .... ... ....... .......... .....x n:;;»y.:.«»».....»,�....««....,. »»:—=:.s.,.«.;;, q.».»..,,..;;.::b:.» ; .....;ec;c::-::.;ec: <br /> r„ ��a ^ p� <br /> Vis.,,,. Nss ,... <br /> d�. <br /> - ���: ,:iCSI!�3ii;;!Fa. C�7'7 ��:i3Lie1��71[�7.: <br /> a. <br /> .P•.i� m�.,m .,,. .... «.....<.»<.......«.>.........,.<....:....t.8_.::.....:.x.>.h:::.9..««:.:.::.6.:.ta6....::::<...<w...�:».«:-».......«.�«.«.C........8»»<..:,.::�»:>.«:.;;.:»::n: #f ' <br /> la <br /> I �4 V <br /> I <br /> vvAj lV�- <br /> D( CR VYVc-G k <br /> ✓1 S - &-n 0, -4- <br /> aoe vu av* <br /> ��wu�" ��✓+CGS- � y Z 3 Z �� <br /> -;s°-9t�c19otIIs ,> � I - run ► I1 oadil.° ;y; w, .::..`.°W : '"ya <br /> P. — ✓ i, .�— K---z <br /> fitra3taaciE . r" .r ,� <br /> .. . ;,F0t3d . <br /> 1 »...R ........:sTafp .. .. :. t_Y3Ke §tiiri ,e•r _ <br /> a-. <br /> Name: Mand Sink: H of Chlorine: ppm Heat: ..F <br /> Exp.Date: Narewashing Sink: 'F Quat.Amm.: ppm ther: 'F <br /> EEHSp]ecialist: <br /> By/Titi <br /> -- Phone. <br /> - Time Out: Page2!f—f <br /> r C. G.. <br /> END 16-24 (211'pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />