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i <br /> 1, SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: A <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ,. Q �`P•. Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.s'gov.org/ehd <br /> o� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: // � Date: a �/ <br /> Address: 3/ z v a e'e YAG City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: b,a ! Program Record: �On S6/ 3s-2 Inspection Type: <br /> ` <br /> B180—Po <br /> osted f,Yg� glom e� it Posted Yes ❑ No Re Inspection on or After: <br /> nGG ter-},, w. ..,ae ?- €N <br /> .s. -.yj kwOBSEFtYi4TI�NSRI�Q�CdE;[ E�T1�11;�►GT131!15„ <br /> b m <br /> r ,�-s-W, = ivt uti7r -lam✓ <br /> -9 char 7'f 1-4P4 �e h, to 6e%r'L) <br /> Qt fr <br /> N� skAQlc, ec <br /> b a� (�f> res LQf.(Qc 7Z <br /> fro -� RIAa +►'} ` dvau gss /fact d s,--)7 t <br /> �_,, . .. ,;.;,„;ems•"-w.�...� �„ P.��--..m,;. ,.",.,... "'�� ; .,,.�.: ,.;— ' <br /> Ii mfLocatron . :; em erature" Itersi!-tocatio T�r� rat re Loi atibri _Iq "-afore <br /> " <br /> n <br /> C reaV44-GSI' Cie4ni qfF rvf a -61 S a <br /> 6 � h t> r <br /> 64 <br /> "F Ctc G+t F-r GYt <br /> 5°:� f ;�Food S C fication' ,„ a"e7lljr}jot"lftfatee Teit%p_ 2turK":-;d ,," ,Vlfareinrasti�" >' <br /> N 11 <br /> am �d �.: . � ,. ,,. _ <br /> �✓" e: ^ Tv� " � Hand Sink: Q� of hlorine: ,.'7 "ppm Heat: of <br /> Exp.Date: rew shin Sink: �0 of Quat.Ammn U� ppm Other: o f <br /> Received By!Title: <br /> Q <br /> EH Specialist: 4�_= Phone- <br /> Time in: JD D Time Out: Page of <br /> EHD 16-24 (2”'pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br />