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11 p °." • SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., adv• Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.segov.org/ehd <br /> �%FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: a f Date: ZZ l <br /> Address: WV_ L City: Zip Code: <br /> Owner/Operator: V_ 're-?l Telephone: <br /> Program Element: Program Record: 1 �� / Inspection Type: C/vv <br /> S131 80 Posted Yes F No Permit Posted Yes o Re-Inspection on or After: <br /> WF <br /> ark At l /J <br /> ny, - h „ham-. <br /> YVL( ,ff lug- cr, :f°Pv�v uc9u, ` tic ��2 f <br /> 7P cfha!�k <br /> 40 Vee Y_11"v w, <br /> 15e/Y-1 <br /> 0( ell <br /> C C ' NO1107,�1" Q ✓ver'_/ yeti �I lJ G✓ <br /> V" *V V d JeOV <br /> 0 WV' c ut( wo ✓ d Ch r ClL a L( <br /> sem `.(� Opt Z �'� GL's (W r ff {1 f Q V <br /> do <br /> -G " ' <br /> L (� 0 <br /> v�A7r r�'Gr�-��+ ' �div � � "' •l J � C a ��C�? <br /> Name: 1, 1 U�% Hand Sink: aF Chlorine: 420 ppm Heat: of <br /> Exp. Date: V (.� ,� :� Warewashing Sink: o f Ouat.Amm.: / ppm Other: -F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> C <br /> Time in: Time Out: , Page -62— <br /> EHD 16-24 (2nd pg) 4/3/13 / FOOD PROGRAM OIR CONTINUATION <br />