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SAN JOAQUIN COUN- <br /> �a .epG <br /> r.' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •'�4 ... a` .. Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> LIFO¢ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: (Ah 0�0 MU 1 K,t Date: �� I <br /> Address: City: Zip Code: <br /> Owner/Operator; h0 r, Ihs� Telephone:cli(v + `t✓� <br /> 'CC <br /> Program Element: ' Program Record: c, till � �- d Inspection Type: <br /> 6180 Posted o Yes ❑ Kermit Posted ❑Yes 17.I `+ Re-Inspection on or After: <br /> IV <br /> -- Gl r�M Stn <br /> CAA �D�. � ,SSA- 1-0 U °� Pv►' a Syn G I�.C�`" <br /> _ -- <br /> a ti CJhI n S,i- -� - <br /> �f- C annc)+ ?'ZSR _ y�2fi ��i f ur 1 ?-�f R5 (-)T\ 6 - -- - <br /> tail[> a a 7 eatu ,; ltewn t anI Tempemture <br /> ..�... <br /> ,sin <br /> Food Skafety Gertffimat@Ot Water PONrtre Wa#e icasTteng: <br /> Name: and Sink: -�- `F Chlorine: ppm Heat: of <br /> Exp. Date: e+y4shing Sink: 'b'T aF Quat.Amm.: ppm ther: of <br /> Received By!Title: hh <br /> i H Specialist: Phone: <br /> ime in: _ Z 0 --- - - Time Out: Page) of <br /> FHO 16-24 (2w pg) 413113 FOOD PROGRAM C I R CONTINJATION <br />