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Sol, SAN JOAQUIN COUI.,,./ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: 35 r City: c�_/_ Zip Code: 95-10-7 <br /> Owner/Operator: cy'091 J -� e_ �I •`G• Ccq.�7�Z_7/� 4) Telephone: CI-21— 0,T00Program Element: 5 Prograram Record: P r� O$3 GJ�7 a Inspection Type: <br /> 8180 Posted 4,[� ❑Yew Rermit Posted _Yes I Re-Inspection on or After: <br /> OB$ OVATIONS AND CORRECTIVE ACTIONS <br /> r h!•u 4 ze ✓ r <br /> h4(t cc �ka( <br /> 11,02 -A�ornr 1,07 bo f'" LLS cera �movie W a�� <br /> r ar <br /> 1.9A6r'ewood r2 bqrs un-ke i7 4- 269 6cjruile <br /> a in 1- r jreAt_7' fha f ocit 2ce- jrla�mbso. fx <br /> n rrrt.-IA 14 y_ _Yr{ T KS . <br /> A�Uoll <br /> de Y ra.- •A-e a.,7 o(e r G r7 /e!-f�G�•f� Gd are. <br /> o / a 17-/ SLtcrG2 a Orben <br /> /AO✓ n �iWa s.Le r •�l-ckrn a h GGc rns.� <br /> rd4rea haGC �'es�aLrd cu ` <br /> r� zand ree.'&4 u+a rest wu N5 �sil� <br /> wood <br /> R 1� <br /> YO ✓ nolt- _ 1-a)Lin loc-c �7Tash L2u <br /> to�� Of - <br /> J -?Z-/5 / as erg - <br /> ItemlLocat <br /> ... _ Ita �l:ocation'�� <br /> l dcov_ pL4 P?r, `-t/or F r f U Le r C Ke!... <br /> a a47 <br /> ar n4/'?0 - - <br /> Nam I')7O and Sink:q /410 .P r"net,, <br /> /00 ppm eat: .p <br /> Exp.Date: _ 5 are a9hi�g ink: / .P t.A m: ppm her: >F <br /> Received By I Title: LLOO <br /> EH Specialist: <br /> Time in: Time Out: Jry •�/ O Pege.,of ' <br /> EHD 16-24 (2° g) 413113 Ot FOOD PROGRAM OR CO/WINUATION <br />