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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 j <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.siaov.orQlehd <br /> 4claa��` <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� , 11 J �r✓{ f Date: d ry <br /> ddress: /V j n City: Zip Code: <br /> Owner/Operator: 1 �w�l ` Telephone: u <br /> 6 c <br /> Program Element: V Program Record: Inspection Type: <br /> 8180 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> C,ell ah, <br /> rIA - 0S &rx'94 , q <br /> P- 42- a 0 <br /> a y r1 v� <br /> I <br /> i <br /> i <br /> i <br /> I <br /> i <br /> :.. FAod i t:V�a tT rper true Wai&Aiashing . <br /> Name. Hand Sink: of hlonne: ppm Heat: of # <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm then: of <br /> Received By 1 Title: <br /> e <br /> EH Specialist: MA Phone: 4W <br /> Time'in: Time Out: '3- P Page. of <br /> p t <br /> EHD 1&23(2n1 pg) 07129109 FOOD PROGRAM 01R CONTINUATION <br /> k <br />