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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a{... ..fro Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> G1FpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: Date: <br /> Address: a vn City:wC�L � Zip Code: <br /> nerlOperator: Telephone: <br /> t A <br /> Program Element: O Program Record: CO L� Inspection Type: <br /> 8180 Posted []Yes O Remit Posted u es ❑1 Re-Inspection on or After: <br /> (it.t hArr 'rG <br /> d. <br /> Jr 'n r29- <br /> a KepOlea <br /> r <br /> a <br /> t r Was as rze- o <br /> rw cox i y* <br /> d- Obse Att 4r-0- 0 Ca4es <br /> ria atr-e_' /20 av �h e <br /> m -/tadcLa <br /> armed r Cus�rh-cry /2�rve_ <br /> Oyd,er4J <br /> 1690"6 and v-e-X a4- a - 60ni7es%-mac c� aao <br /> Y,G4S »Si 15 q r.Pi 4:Ss <br /> r5 017zedr z n.c'rr <br /> 77 0 7_e % on a-n- -a <br /> ae7-4 <br /> Name: and Sink: 'F hlorine: ppm Heat: C. "F <br /> Exp. Date: arewashing Sink: 'F uat.Amm.: ppm Other: 'F <br /> Received By/Title: n <br /> EH Specialist: Phone: llib3— 99 1*? <br /> ime in: Time Out: 77 66Pageof <br /> ERG 1624 (2b pg) 4013 •/ FOOD PROGRAM OR CONTINUATION <br />