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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;.. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s4gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> !rN JH. Ct' Date: <br /> Address: 1G, Na /e-e city: Tea ( ` Zip Code: <br /> Owner/Operator: YI A / e r O r oegra Telephone: <br /> Program Element: /G I Program Record: ptg6OS I Inspection Type: O <br /> 8180 Posted ❑Yes ❑ hermit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> Q d W al 4e r q r p .{ ; .1 <br /> K <br /> o <br /> r- <br /> A <br /> n oI a OL-1 ! 'S e s a 4 <br /> Ala 1 al <br /> ! rN ; a h ; n S r. r as Jat . or1 <br /> G ker a a. rr it?l / a n � aa : 6 rrotM s� S c CP Cr[/o M or <br /> n SAI/ // 7 i fa Y ;G cKfaci <br /> Prov; &If A S q j ' ai1Pr hill C Ize i 6f a r n 4er. <br /> rrrr / 4 c <br /> 115) 00 b Cell fa; b%e Ioor, <br /> a '. n a ; r\ 4-000, u Is 6 ire he 4he <br /> 8 raw oc ryl 1 /e <br /> ir\ re O o <br /> et M . I O J a r L5 roveil's ,- ore <br /> P 4a re "s ` Q n <br /> l -; n e rv� D e r rA a ,re is e M eec' /U.,- <br /> "re.12) <br /> / w 41/ F. �4 1 o WA <br /> D.S ..Ilk• / 4osc/ .2 Odr) Eo3., U/ >� <br /> yC s <br /> Name: and Sink: F' Z .F hlorine: ppmeat: .P <br /> Exp.Date: arewashing Sink: UU 2 .F uat.Amm.: ppm Cher: of <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> ime in: - 3 Time Out: /. Z - - Page�of. <br /> EHD 16-24 (2c pg) 63/13 FOOD PROGRAM OR CONTINUATION <br />