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ots!!n. SAN JOAQUIN COU'swifY <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4t eawi ~. Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sagov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G -� Date:3 3 <br /> 11 <br /> ddress: 10 _ City. C,�lv Zip Code• 5 <br /> wner/Operator: Telephone:-_ ( b_ <br /> Program Element: Program Record: NP V Inspection Type: V <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> U I hdS t ld Th.2 r1- _ <br /> mss ss a hI�NJ cAkx it s �ma1 S 6212 <br /> Cw 6 1-b Ulm) a )e-f r"t 1 i, <br /> a L\A31, \1�n\\ V0 <br /> ame: and Sink: "F hlorine: PPM Heat: 'F <br /> Exp.Date: e l� arewashing Sink: -F uat.Amm.: PPM then. -F <br /> Received By/Title: <br /> H Specialist: Phone: i1 rG(J U-2 <br /> Time in: �1 ; Time Out:'0`1J;'I�./-,�� Page of <br /> EHD 16-24 (2^pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />