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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> •. ;� Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> Ll Fo`s'iN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of f=acility: VIAL t Date: <br /> Address: 7 p J 1 f►+ S�. City: 1"A C Zip Code: cJ � <br /> Owner/Operator: j G SAJ ;(AC 221rA L' Telephone: T3 :2 <br /> 32 r 339 -2 <br /> Program Element: Program Record: S Inspection Type: G U/Yl I <br /> FI Bt80 Posted []Yes ❑ No Permit Posted ❑Yes ❑ No Fie-Inspection on or After: <br /> k <br /> I <br /> to 11 $ u "P$ ( aC raWC ; �lr�� ou f raC, �L ��rh,/�11 GrC i <br /> +S i' i �a! {t PC in GG deur i5 rrf o lrrfri <br /> � foar,� S UIi0 5 0 1 nG rr G <br /> 4 e 5e n kc (A r) C . S t auk �•Ihe r <br /> and smc I Is Ve rj 6 ti d . Ve eaa Irs be: rc-Lin n e 1 4 <br /> rr 5IelAranGnd J people GrI <br /> s <br /> b serve-dA r e01 <br /> r P ! 50 ed r1 / <br /> SG n K h A45-- h u p I <br /> C. h PC 1 psGwr S. c <br /> Ll (4 �v Se - 0 ^ ) 1 <br /> i <br /> p at. .e° �terxl/- uxr, ��tperaiufe °•• 1�e ��-o a!`� �� "L� pei�ure" <br /> Name: an Sink: of Chlorine: PPM Heat: of <br /> Exp.Hate: arewashing Sink: - <br /> F at.Amm.: ppm ther: of <br /> Received By I Title: <br /> EH Specialist: phone: 6 (�3// <br /> ime in: Time Out: Page of <br /> r D <br /> EHC 16-24(2'd pg) 1112109 FOOD PROGRAM OR CONTINUATION <br />