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SAN JOAQUIN COUN14 <br /> q' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . ... _ .p• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> 9c,FiiRia <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: llesj wesler, )ir' 1 Date: f, <br /> Address: 4, / ! P City: } Zip Code: <br /> OwnerlOperatorU: C� 1 Telephone: <br /> Program Element: Program Record: Inspection Type: G a <br /> B180 Posted E Yes 0 Rermit Posted I7 Yes ❑1 Re-Inspection on or After: <br /> GEM <br /> uSe h j rP r ru lGr, eWe I1G[ASC <br /> rI <br /> G Z A l 4G C�c V. <br /> Pin S I _ S ry Gre c, a !e - --- <br /> I�, p Ic, � � � ou�r1 �d rP vin <br /> )_nom�C, i _- �,r � -Qn- S, f egn d eAvm;� <br /> Prdv� UQ - ah----[�l_, ►^ 9 G ter_ �-CGrn� <br /> G0 rec <br /> ,-+r] ✓! S- fl ks C Cr r n c f ►'1 1 ._(.cl P P X_ <br /> { A - - - -- <br /> Ur ve Cave bCA3e - � r� Wr....d rr) onx. -- - - . <br /> (� G <br /> OR L re..P <br /> i 11L cs e n l to ara Temperature <br /> kor <br /> .......... <br /> iworea a iitog <br /> Name: Hand Sink: U G of hlorine: ppm Heat: eF <br /> Exp.Date: arewashing Sink: ISG aF uat.Amm.: ppm Other: eF <br /> /- ! <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> - - - - — - <br /> ime in: Time Out: 0 <br /> Page of <br /> Eti'D 16-24 (2n1 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />