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aRAu'"• `- SAN JOAQUIN COUNItir <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> CiFS"a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` Date: i v _ 1I <br /> ddreas: -, y v ,� h City: I�, Zip Code: is_; -11L <br /> Owner/Operator: Telephone: - 3 ^7 Z <br /> rn <br /> Program Element: I / ProgramRecord: L G c, Inspection Type: e _1 nS eC4 <br /> SB180 Posted _. Yes No Permit Posted Yes No / Reanspection on or After: <br /> 70 0S1 Y ; olu4 :o:, i re Cfed <br /> I r r IA In de r r; I 1 SS ncf le . <br /> Lc fret 4 ir1 c le Pepeo i V dlef7 <br /> l: on <br /> - ; h q I� e,C0 ro Wcrs y� /= <br /> Name: and Sink: of lorine: PPM Heat: of <br /> Exp.Date: arewashing Sink: of Vuat.Amm.: T 0j.X pM her: "F <br /> Received By/Title: V <br /> EH Specialist: Phone: / <br /> lime in: Time Out: Page of <br /> EHD 16-24 (2a pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />