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SAN JOAQUIN COUNT-r-' <br /> ]•�FAG <br /> _ ENVIRONMENTAL HEALTH DEPARTMENT <br /> b '< <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I C Date:O Z _ 6 _ <br /> duress: /25`2 <br /> 5 Mi� A_I_-e- City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: p`` -7JO Inspection Type: <br /> B180 Posted xYes _ No Permit Posted Yes _ No Re-Inspection on or After: Kdv(-pts <br /> I-S O - L' el_L_k o <br /> LCt Nn e - .rte Z,&-5- <br /> o <br /> Ci. u•rL h ltib (�C�S F/Ot1 -O <br /> 0 nedr <br /> 9y4l~° IJ, / a /?4-. csv/er <br /> J - <br /> ame: S% �vyQ nd Sink: D -F hlorine: ppm Heat: -F <br /> Exp.Date: •/ 6 / arewashing Sink: eF Ouat.Amm.: ppm r: "F <br /> Received By/ tle <br /> EH Specialist: Phone: <br /> Time in: D Time Out* ✓2 7�.-7J Page of <br /> EHD 1&24 (2-pg) 1112J09 FOOD PROGRAM OIR CONTINUATION <br />