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SAN JOAQUIN COUNTY <br /> 3.•� •pG <br /> q � ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Slockton, CA 95205-6232 <br /> �;.. ;� Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www. <br /> DRi? a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U am C, Date: <br /> Address: j In S a City: —r)lG t I Zip Code: 9s3�b <br /> OwnerlOperator: tyi S U n Telephone: <br /> Program Element: rj Program Record: S R d G 7So V Inspection Type: cG/?SN <br /> 6180 Posted ❑Yes ❑ Hermit Posted ❑Yes ❑ I Re-Inspection on or After: <br /> ...... ..... ... . <br /> Ho Ic ' rgr by M0 a <br /> S he 1v Gi n r u. L10 d d i 'I <br /> Tr,cy e­c, 1c, tlur <br /> GCI <br /> -to eqrte, of) tt,P�.#j_. .. 2 Ve <br /> Ry �tuirrn ACJ M. _ <br /> PSh"AHrun � a5-SO SO ff_ctc'K oplmi�_ -' _7044 . <br /> Tarr perat s <br /> 14 I)eItt, .7 <br /> cr 6 re 3 / a -l/Gcr� rP r <br /> r / -- f <br /> d — alfa r FaSt3RF1g <br /> Name: C� �e j Hand Sink:vyl / of Fn W To ppm Heat: of <br /> Exp.bate: cJ 3 arewashing Sink: of Amm.: ppm ther: 'F <br /> Received By!Title: <br /> EH Specialist: Phone: 60i �6 y <br /> ime in: `G S Time Out: 1 1,Z 0 Page of <br /> EHD 1624 (2"pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />