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SAN JOAQUIN COUN'r-e <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> {c Pdd p Telephone:(209) 468-3420 Fax. (209)464-0138 Web:www.sFgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: rKkAa (yezy_ Date: <br /> Address: 105 �M Q S Al'+�1 liner City: S�oCK Zip Code: C .� z/O <br /> Owner/Operator: Lo Of -b Telephone: l �� <br /> Program Element: // L Program Record: O(Gn$(n Inspection Type: <br /> SB180 Posted Yes ❑ No Permit Posted Yes ❑ No Re-Inspection on or After: <br /> 142 <br /> 00 V l/)k4poiV S <br /> q��,�� at` <br /> IG K Clf � �T F{a - rTet <br /> 4 -1N <br /> f/oT go / 7 <br /> Name: ��U r91DR�,E dSink: 35 of Chlorine: PPM Heat: of <br /> Exp.Date: 6-)-(( 1P/-z3- 1/ arewashing Sink: of uat.AmPPM ther: of <br /> Received By/Title: .7 m.: S y <br /> EH Specialist: f Phone: f q`l <br /> fine in: L Time Out: 'l / Page of <br /> EHD 16-24 (2-pg) 11/2/09 FOOD PROGRAM OR CONTINUATION <br />