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o�4u1n. SAN JOAQUIN COUNTY <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-302 <br /> ��CiFek�p• Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.s*qov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -4�fX2� Date: ev_ <br /> a ec,�les _ <br /> Address: - City: Zip Code: <br /> / <br /> Owner/Operator: Telephone: <br /> Program Element: 4 Program Record: Inspeetion Type: r <br /> 8180 Posted Yes ❑ No Permit Posted Yes ❑ No Re Inspection on or After: <br /> r OBSERVATIONS ANDCOR <br /> , RECTIVE ACTION <br /> O- <br /> Q W0.. <br /> �r <br /> e esv✓`� r <br /> Sa�v� it R(ca ZCO /� 77 G7G �S 4 <br /> r - e (?-,F- aro D' <br /> PO-,d Si-n k ct5 SQw <br /> �C = i hfA W A RQ as (2 09 <br /> d nsr True °F droY rad 3 N'F Ivie w4d4iWo 90 <br /> !. feEZllt' .c - rne=i f Gia o� <br /> do 0, i i'ZZCL, %z--z0. 0` <br /> and Sink: 10` .F 1Chlodne: PPM as •F <br /> xp.Date: _ shin Sink: Z eF rust.Amm.: Ppm Cher: >F <br /> Recelved By I Tkle:/� <br /> EH Specialist: �� Phone: <br /> !me In: Time Out: Page of <br /> o : a <br /> EHD 1624(2itl pg) 11/7109 FOOD PROGRAM OR CONTINUATION <br />