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SAN JOAQUIN COUII <br /> �. •9G <br /> ?, ENVIRONMENTAL HEALTH DEPARTMENT <br /> ` 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �., Telephone: (209) 468-3424 Fax: (209)464-0138 Web:wvvw.s ov.or lehd <br /> 4CfF0�� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> FOwner/Opera7tor: T <br /> VI.1 6t:15 Zip Code: <br /> City: <br /> ' Telephone: i1 IInspection Type:IfsProgram Eement: �� Program Record: ED <br /> I <br /> 618D Posted <br /> ❑Yes ❑ wermit Posted [j Yes ❑ I Re-Inspection on or After: <br /> ACk­ <br /> Agml <br /> " -fie r c�+ A+ LA 0A I� r <br /> ro L!'► Cx�C 0�1� YL :`C'Yt?&j LAAUL t <br /> uns wi r 6a r ; Zoo r <br /> i, lJe.,r�or <br /> �� L� Y <br /> L2 ;' vJj r� rGao A ✓�. <br /> Zit] 51 eeA 8'n �oCTY <br /> r 1< ro -- .P <br /> nS r2 LA d'U ' + g-e rCjnjo � V <br /> I b W-0 <br /> zi r o)C f rrx C6-..,)n <br /> � � L <br /> -'1 o-rE: 0 h.e - Y.e -{ro orr► c to o r is vtof S-0- Pe- r 0 w Yom¢ r <br /> CIO "ct>rr 4- 56�f_ <br /> [ -en ' 1 arm wasted &n . -fes J4 s A as Ar <br /> ....._,. r �. <br /> i,,, gtfcrn "N <br /> 7g, <br /> 0100 Y- Ma s h.e d d+zk- g �-r I r_ <br /> tIr ne '` r r� <br /> Name: r I'a )_ Hand Sink: 1 O 7 Chlorine: dappm Heat: of <br /> Exp.Date: _ [ arewashi g Sink: aF Quat.Amm.: ODppm Other: of <br /> I— Lo <br /> Received By I Title: C <br /> EH Specialist: MA Phone: 5 — 1 r� <br /> Time in: Dro I U Time Out: 30 / Pagwf <br /> EHD16-24 (2r0pg) 413113 FOOD PROGRAM OIRCONTINUATON <br /> i <br />