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SAN JOAQUIN COU <br /> •.OG <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> �iFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT 7aus4" <br /> Name of Facility: r "I" Date: z/_ �) <br /> Address: O �,Y1a YG City: z <br /> SCJ v �K,�On Zip Code: <br /> Owner/Operator: A S I A 1 a ti Telephone: u-7 p l <br /> Program Element: <<O n ogram Record: rk 0 I� O Lt' Inspection Type: �1 wO,�.�et-j__8180 Posted es ❑ Rermit Posted 1' -)(Yes ❑ 1 Re-Inspection on or After: WOLMC5 <br /> a <br /> iCr v f c.Co L'S l. &4ja�s ze r7o . zn"4 o `or7 rywiic <br /> awCQ_K <br /> )'Yt a+A-Q--Q- 10 •1, a:�,- <br /> e� <br /> �t aOCOn a r-e Y)•e- a- a <br /> PLI b <br /> 0 r - b 1 aL <br /> -C_a-4- .IC-IL tow G <br /> h rI'o r o C� ru ,� ►' <br /> bi +arfov- LO o L.P ►` O s ULe. t- 4i-,> <br /> -toor• , f IAI-m w,.e e- A d4 hx-� I L( 'P-&k3_A' M s (�orrc e.� <br /> ap r vy a, - br i <br /> r+ j'0o c'epd�e a talon r _.. ��r„�. r 3 _39 <br /> r cam-a M.��r- _.Ci LtOc�r <br /> MoD CP Y <br /> 38' d�co Y Vic4v rt, <br /> 111t �'w <br /> -W.- NOR z. a <br /> Name: onu j, (---ya rG' 1 Hand Sink: /aq of C IorhuV ,� r0 ppm Heat: " of <br /> Exp.Date: arewashing Sink: �, of at.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: w <br /> T L Phone: <br /> Time in: Time Out: _1 �; Page�of,2 <br /> EHD 16-24 (2n'pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />