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160 /293 <br /> SAN .JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd <br /> L�FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: O y1 a1 �4T-0 1,e0 yy-) Date: 3 -'C./_ <br /> Address: 7 13 `\ G— I -Do ra-d o 64City: S U 0<-�oh Zip Code: RS P�.o;L- <br /> Owner/Operator: yj In{,eYS Telephon Y.B, 5,�?-0� <br /> Program Element: I too Z CXo 1 Program Record: R O d 9 I Z Inspection Type: Co nSU 1 �0.�i0►7 <br /> SB180 Posted es ❑ No Permit Posted C1Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND C®RREC T IVE ACTtOI+I <br /> i tt40 MA Mc,-4,er C P r,lW c o,45f 1�2 �^ r-e—A Lcl t_ <br /> ® Lx brat.-L rrno » t_4 v W C: (.0 a 4r-r <br /> YYWv+0an n "al 8s ash- r <br /> 5 3Y_ <br /> rro -a'.4A +; rm'0 rn&AftS LA A ngrs <br /> r- C40 t2 <br /> �r0 V'{ azO 1.2r OR DY W 1'1'1a0y1 SO <br /> ' A 1 <br /> r L+7 <br /> ul' h4 6-e ami P--.e- <br /> &91 t h-e rr4 Cil gcL h_�i Al A Y L4.k mol <br /> OI hA'-hZz¢- atA- 2 Q arkna03 <br /> Q-IC.. 40 CS.-St-k rryv.-}- c.e- fcpg L5 poa cl • -R-.t 4-u ril D^F <br /> ?rO ram t <br /> t t.c it I : _r"' C -GD i -t <br /> DO <br /> `j �rrrto 5 / 110[ c1a lqp° <br /> l°F <br /> 1 36 <br /> 7 <br /> Name: Hand Sink: 100 OF lo�rine: O ppm Heat: OF <br /> Exp.Date: Warew shing Sink: I�-' of Quat.Amm.: ppm Other: of <br /> Received By/Title: P-r-UI 11 1 E ma K6ti' e K <br /> EH Specialist: Phone: (?5 t 7 <br /> Time in: „ Time Out: 01 7�0 J G Pag of <br /> EHD 16-24 (2-pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />