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{ <br /> SAN JOAQUIN COUNTY <br /> )G. 'FpG <br /> x ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • .. ;�. Telephone: {209) 468-3420 Fax: (209)464-0138 Web:www.sigov.orglehd <br /> 4�lF�.R�i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: �!9 <br /> Address: �7 tY) _ City: Zip Code: q115 <br /> Owner/Operator: �)rle hone +! <br /> I Program Element: Pr gram Record: i 61 1 1 i Inspection Type: <br /> t s <br /> Iyffi-80-P-0—sted es ❑ No Permit Posted-- es ❑ No Re-Inspection on or After: <br /> '000,010--N- 0,.s, WIN, <br /> -i a.s � <br /> ww. ,i ,t .. <br /> 11 � ,,v�..� <br /> Q to i'Irk Pa-44W_ <br /> I-A <br /> [? 2 f 1 <br /> i <br /> GJ r71K <br /> j g C <br /> ! y <br /> a <br /> � :'. 3 'z StYtid a' �',— sy'. ".' �iy ..4 � � s..,'V1'. �� X .L� 5�.x.a:.. S��1.4i .`•��' <br /> :x€ t4 _' .< k� Q ilCtC1N ' kG � ` +� `'' iRNY35r11n� rFi �47 <br /> Name: Hand Sink: OF Chlorine: ppm Heat: OF <br /> Exp.Date: rewashing Sink: 'F Quat.Amm.: ppm ther: OF <br /> Received By 1 Title: k <br /> EH Specialist: Phone' <br /> Time in: j.is 6 Time Out: �'� � Page of <br /> EH 16,23(2^"pg) 01129/09 I FOOD PROGRAM OIR CONTINUATION <br /> I� <br />