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SAN JOAQUIN COUNTY <br /> 2� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web_www.sigov.org/ehd <br /> 41AOA <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 040l.A6-0, .4 u.,v r 06oq- Date: <br /> Address: !' City: Zip Code: <br /> Ownerioperator: Telephone: <br /> Program Element: ` Program Record: -5 t f q Inspection Type: <br /> SB180 Posted—i�-� ' Permit Post Re-Inspection on or After: <br /> =C rF4� Z per�Q H�}5 Gv v- rt r e, t4OV Uk- 9!25r 5E2U ce <br /> SFcX-2►4�. �S /�f�2/E tr t, r� 1 Ebi <br /> 617-ORAdc- hit(,r H 577C' (ADL'P onj PAA <br /> JE nl <br /> v Ai ti 65k 31 b <br /> MA lW Si�LI@ /Z l J�ly9��Cf� '7n 71=fF J�, R�r ILaUsV �i9�CL¢r5 c5 H7a�F <br /> 5(2& rV' TP ..RA1SE /94 s `� r lHr•yr��5,r�ric <br /> wrrQaJ 5a Foar .A) 75 (j.1u ;�- <br /> r 'Wr5 QUc9fay IZO-16 i94/6 4 L)&41-6 cfe-i ew-e- ?v <br /> I4-2p-Ia <br /> m <br /> Name: Hand Sink: aF ChlorE:m.: <br /> : ppm Heat: aF <br /> Exp.Date: arewashing Sink: F Quat. ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: 3� <br /> r <br /> Time in: L' Time Out: Page4fzl <br /> EHD 16.24 (2111 pg) 11/2109 FOOD PROGRAM OIR CONTINUATION <br />