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6e4�1N. SAN JOAQUIN COUNTY <br /> F ENVIRONMENTAL HEALTH DEPARTMENT <br /> = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> CIFOR . <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: rnro Su: PS Date: 6 <br /> ddress: 31 1 / 6 ve � City. -rr n C\ Zip Code: Q S 3 7 <br /> Owner]Operator: k7 ! Aru r, C� Pu 4e ! Telephone: ! <br /> Program Element:- Program Record: a (,6 { Inspection Type: p 61A 4 ; <br /> B160 <br /> Posted 0 Yes 0 iltermit Posted Li Yes © I Re-Inspection on or After: I� <br /> rI <br /> 1 A 10S c RC 010ve 'd (St it Ser ve <br /> )AO Li)U •FV T CA k 3 -Cam 0 S ; n K ,S CA <br /> der Q of o b ove rC ' Jod-Q <br /> a d f; Calc n t on s- 4C Ards: de in <br /> p <br /> d oCJr fe fC r"a40 +C Q <br /> al V 6 r- I O w 4 1 'r, . GG f rP. ca �o �4 <br /> 4r, n rr r 11a TrY1,lQv1ol LOS J eCfiuY7 <br /> re or k erg r'f&C �c�fl <br /> i <br /> to <br /> . i <br /> .......... .T m <br /> MM . ��.. <br /> ......... i §kY€ �totk T.eii` <br /> 9'r <br /> 'err <br /> Name: Hand Sink: ,{ "F Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: `/ �`� <br /> Time in: ( Time Out: i 1 : Page of <br /> EHD 1fr24 (2,d pg) 41313 FOOD PROGRAM CI CONTINUATION <br />