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SAN JOAQUIN COU <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.org/ehd <br /> �IFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U -F�(-0 ' t L I a e,)I Z n S Date: • '2_/'?/5 <br /> Address: (4-715 1 PA. GI Tnl L "6vj--Q- City: 6+0 c.*—+10 yl Zip Code: 5�7 <br /> wnerlOperator: , . \`n S �n Telephone: '-f-7 <br /> K (N O <br /> Program Element: 1 &uP ogram Record: P R 0 4a 0-3' $ 75 Inspection Type: f2ao-h YI-9- <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑ I Re-Inspection on or After: <br /> A61 i- <br /> r <br /> g" <br /> I 04n V r►a �- LL4L4WF: 5h U L)1 'F <br /> or Lewty . <br /> -02 CV ed r iv r n,.-_ V_t, 4_P s', -4C-s iS L4»-h rt� <br /> vn.Per` YYL-e n s <br /> G/la c -'s .e ►'�'r-c�,/-e O w 4 <br /> L(.S.Q. YO O VA-5. 6k-5 dr r cc -e <br /> p rS <br /> �1 hbarlh ✓ 6 1- 6a V- `s V-1-0 + 641 YX o; I i n <br /> 0 h - - 1.1 sz 00 -I•i !' Lt V eA Y ea_c/-e-5 50 p p m SLI l p r i.tie_ p r <br /> 100►' Q vte a on cLotr vr.A�hl e ce' <br /> V zat,-J1 a+ ff►� A Y� GJ/2 j G 1-,.� /� <br /> A <br /> Y�-G?.e✓ (•�- ✓ .SS cs b 01 r k S YesA h /s 4-i <br /> r <br /> Al , h 4- d:s h c-1 <br /> L/ / I ll I/Do Gl <br /> L)r r I0 JAJ�n I D SAF <br /> u Heti Coy �r y F 4f d-ra (P 34 <br /> 4e-7 *qLl c35 r or wce✓ ate; r 3 7I <br /> �qw�r -� L yI°F G? ✓•e it 3a' <br /> Name: C�-1J_ a Hand Sink: Ith <br /> .11�� �� LC7 °F ppmN/p /�✓ j °F <br /> Exp.Date: ' G� j ar ashing Sin of atAm ppmr: of <br /> Received By/Title: 1f'la-'77z -EH Specialist: Phone: <br /> ime in: 2; Time Out: 1/0 Page <br /> EHD 16-24 (2n1 pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />