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.i <br />! y r <br /> °..." ". SAN JOAQUIN COUNTY <br /> off. .., o <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: E' Vie- Date. Z Z <br /> Address: 7 23q A AA �le C City: Zip Cod <br /> �Sf �c C e: S 3 d <br /> Owner/Operator: Telephone: <br /> Program Element: /6 O(9 Program Record: Q�� �? Inspection Typo: <br /> S8180 Posted El Yes ❑ No Permit Posted []Yes LlNo �5 Re-Inspection on or After: <br /> xye..�> Asa raf w � M gr - <br /> � ,, �2 OW <br /> _ ANO:CORRECTEI/:EXACTI�C°?NSt <br /> Fa a rat f- r i <br /> ar ked <br /> 1 <br /> !l� szl <br /> m 1_k r crh S Fc <br /> 6-0 df s C o <br /> U VO a<S 1 e r Gti e <br /> [ern tion' , eratu fem l aocat o esat fe I e O i N <br /> r R <br /> MR <br /> ,. p. ,� �r�n,_perature <br /> ,• Fop Sa _a feCertifieatton> aterTempeiature "> 1N ewasEiin <br /> `Ewx4w5, d .:M. •�.'' cid;. .hX- g. Y`. <br /> Name: Hand Sink:�P, Cof Chlorine: ppm Heat: of <br /> b <br /> Exp,pate: "73 — _ arewashing Sink: of uat.Amm.: ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: Phone <br /> • 2-,9 6 `�7_r8 <br /> Time in: Time Out: Page of <br /> EHD 1&24(2^4 pg) 11!2!08 FOOD PROGRAM 01R CONTINUATION <br />