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'.. <br /> SAN JOAQUIN COUNTY <br /> ` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sioov.oro/ehd <br /> Cjp}�•pi� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L Date: / isj <br /> ddress: a�� <br /> /V I j City: /a f/�� ✓ Zip Code: <br /> Owner/Operator: m 1. SIC Telephone: <br /> Program Element: Program Record: 0 S 6_S Inspection Type: L <br /> 8180 Posted Yes ❑ No Permit PostedYes ❑ No Re-Inspection on or After: LUl <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> PINI v c h e _ 011 a-vol., ai; 4 <br /> - rel <br /> X tl <br /> �_61`c4 Gi rz Ji <br /> p ,1 <br /> ,t,C a t toln <br /> r� <br /> wk GLi <br /> I If&1jaAL CVV'fj - <br /> �Ct4c'4-1-u, S ✓" 0-f — 4rT^ G w1�Lc <br /> S />#O,K <br /> lktu/o <br /> ji It avvy, fvQ <br /> v G ! vf&wvvel &/ 0yrn 3A, <br /> Name: U Q Hand Sink: eF hlorine: ppm at: eF <br /> Exp.Date: ')C,- arewashing SI Tl of uat.Amm.: Ppm ther: >F <br /> Received By 1 Title: } V <br /> EH Specialist: Ph — <br /> Time in: - Time Out: - Page 2" <br /> EHD 16-24 (2-pg) 11/1/09 FOOD PROGRAM OR CONTINUATION <br />