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SAN JOAQUIN COU t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s64ov.orq/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ��yt,'� ye�U(� L_�{d Date: �- <br /> Address: I 'n„ L L r' City: Zip Code: <br /> Owner/Operator: Vn� a �-t Telephone: <br /> Program Elemdnt: ` 1 Program Record: j Inspection Type: <br /> 8180 Posted Lt es El Posted es ❑I Re-Inspection on or After: <br /> .ASL v(� m�l �`... mvi, <br /> —rte, n <br /> ' <br /> C2 w\u z .kms <br /> M vwwv_ ' a-' <br /> O <br /> 1 � <br /> Zcr 7r <br /> N, <br /> yi Aj K �((k,7-1 Hand Sink /"�I,' of =hlorine: Hea of <br /> Exp.Date: arewashing Sink: , q of of <br /> Received By!Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page;,pf Z <br /> EHD 16-24 (2no pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />