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SAN JOAQUIN COUNTY <br /> r. z ENVIRONMENTAL HEALTH DEPARTMENT <br /> b <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • �4C)p�.nt+�P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 0 Q 4 lle '� Date: <br /> Address: �.S {Gt/ OS�an,- l City: Zip Code: <br /> Owner/Operator: I <br /> Telephone: <br /> Program Element:'It,/.1-- Program Record: ` 3 O Inspection Type: O yLQ, <br /> B180 Posted FYes ❑ No Permit Posted �Yes f] No Re-Inspection on or After: <br /> u, OBSE V ,-10. S AND GORRECT SIE ACTIONS <br /> M - R loor' 1,elvcp <br /> -h t1kCA eov,ler C le-a <br /> TU K4 _ o K - <br /> -0 1p-tVA <br /> Ss Noz z0 k <br /> o4and <br /> oer r� s tear O° rib?aname: 'F hlorine: ppm eat: 'F <br /> p.Date: 6 _ / Sink: s of uat Amm.: 200 ppm Cher: 'F <br /> Received By I Title: <br /> EH Specialist: ne: <br /> ime in: , S Time Out: Page of <br /> EHD 16-24(2n°pg) 1112/09 FOOD PROGRAM OR CONTINUATION <br />