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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • r... M ;a Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Fry 5 Date: <br /> ddress: 30C 0 Alco� <br /> le e City. T/a rly <br /> Zip Code: <br /> wnerlOperator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted n Yes ❑ Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> st, a a b e o� <br /> i l u ; n { is <br /> 1 GI; I) � ' r r, h I rn fr' On k, rerre c-; <br /> A <br /> 64P be . 1\9 LAse a Scqo P A S41 7 rj Ar <br /> S Gc A b a a d4f.5. Cig;recl k,,Ia <br /> U tl <br /> S 01/ 5 rc •{ i n disfeCarrn ) ; rj L )oe <br /> 6 row< AC v 'Ca Ir c/a <br /> Name: and Sink: of hlorine: ppm eat: >F <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm ther: eF <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> ime in: Time Out: CJ a �L Page of <br /> EHU 16-24 (2m pg) 4!3/13 FOOD PROGRAM CIR CONTINUATION <br />