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a° N '11kae SAN JOAQUIN COUN%,✓ <br /> r' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: < <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.s*qov.org/ehd <br /> CIFOH? <br /> 25 C323 FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: QUr 1U U L Date: (o -4 <br /> ddress: s` City: s70 .�M Zip Code: -152 <br /> caner/Operator: 1 �11 . ,- N Telephone: ��3 , GU <br /> Program Element: } U2 Program Record: s ()U -�2 Inspection Type: (-,MC, <br /> ',M ht:).ti LM <br /> B180 Posted Dyes 0 Hermit Posted Dyes 01 Re-Inspection on or Aker: <br /> } ( as <br /> 'aa 5 GA cn-I un Ut-e stu cA-N -tj�, ncl 1 n flv- <br /> Si7xa r-eo . Xee aji S .1 o+ f <br /> qj�CkArtd <br /> aWo rd La/y a S Un SI <br /> i jr PeS. A " v- j2- <br /> 11jr ice P ci 3 � <br /> WGV In i �f° <br /> ame: In <br /> ,(Gaf-CA and Sink: I 0 •F hiorine: PPM eat: •F <br /> xp.Date: a / arewashing Sink: I Z •F uat.Amm.: .7_0U PPM er: •F <br /> eceived By 1 Title: <br /> H Specialist: Phone: o(q <br /> ime in: f Time O <br /> 10ut: llD : �O Page of <br /> , 1 <br /> EHD1624(2-pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />