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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> {clr d +P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www siaov.oralehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - U 5 v Date: lo <br /> A E <br /> ddress: City: Zip Code: Z 10 <br /> � O 5 STAIC� <br /> Telephone: c�lr3,� 10 <br /> OwnerlOperator: <br /> Program Element: Program Record: pko I tJCp,� Inspection Type:' AA p <br /> B1 BO Posted Yes ❑ No Permit Posted Yes ❑ No !! Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> I 4J K /nr P & &r <br /> Is q4j s 72> )3s R&ti 7W"d-s -r- r <br /> Thv- 17g4eg54v('r7?jAj& M R /S a 1AU <br /> Rv&t LL RE Pr41 IC N 17 o BY Zhkcw ry r l" M#-?0k47uk4 <br /> � <br /> IS PE _ ea0ZPecT //LAMED <br /> r�-^ 140) &ltllfs 5`T D pRld:ww,+L OluK RAr+ $Td/2t Ak4_ o <br /> But4 5 N a S C N LF n mb — R <br /> SN IAI& 7266 OC61KCt5 r oumajbC ogmebr c <br /> 9/so BAxwr. So <br /> tea.p3 <br /> i. <br /> J" <br /> ry k.iw 3 7 <br /> Name: Wd5CGA 5 and Sink: 13! 'F hlorine: ppm eat: •F <br /> Exp.Date: arewashing Sink: �3 'F Quat.Amm.: iy� ppm er. 'F <br /> Eecelvede: -)Phone:Time Out: ; :>� PageIof <br /> EHD 16-24(2n0 pg) 11/1109 FOOD PROGRAM OIR CONTINUATION <br />