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a°"'�•. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 500 East Main Street, Stockton, CA 95202-3029 <br /> • c..: f ;P, Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/�ehd <br /> 4L1FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ lmokr <br /> Date: 7-16-(o <br /> Address: /G C7 CcI I I"ST City: Zip Code: C(5 37 <br /> Owner/Operator: l .54u<- &r Telephone: <br /> Program Element: r� Program Record: C000 Inspection Type:/L �Ar <br /> SB180 Posted 0 Yes 0 No Permit Posted ❑Yes D No Re-Inspection on or After: <br /> i <br /> � LRT�Q'Aff,51 WRQ CT�iI �iG fl F S <br /> O-l4-'"� :.s ETES - — �c f• 1�S <br /> 4A) E <br /> �nwr�� <br /> 4-rC-d- _r— /�6-4+T5- ��`�` IU SCdfhL -b &ttFs <br /> GS C t N <br /> l�( �h. � <br /> �oQ 4lp__ �lzy, 2 Zj okIZZ OcZ-0'7v26- X4 l 13E <br /> _ Food+S'afety�Cert� cal n v.- �Fac�ilfyiotKlt4lakr e,pefau ,zWashing` <br /> � !n._.§„e�..,.`,�...,.c.+,,.R,.:w- ..e iii �y SS :d+m. .,,§'✓a. .� „- ��•o :x <br /> Name: Hand Sink: of C orine: ppm Heat: �F <br /> Exp.Date: arewashin Sink: `F at, m.: ppm Other: `F <br /> Received By I Title: <br /> EH Specialist: e: <br /> Time in: r . - - Time Out: Page of <br /> EH 16-24 (211 pg)'l 112!00 FOOD PROGRAM OR CONTINUATION <br />