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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c�•.. - .P• Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.s'ovq org/ehd <br /> 4ti�paia <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: es l G Date: 729-41, <br /> Address: as'5 /VA 1 e CityT� C Zip Code: �S3 <br /> Owner/Operator: /� Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 8180 Posted ❑Yes ❑ Rermit Posted ❑Yes Ell Re-Inspection on or After: <br /> In W () a r " Irl)n J r r 0g, Jy 16, f <br /> Sever9l rn;hu PI /�r��. &1 0c)-Ir, iJa ^r�. .. r",r 11 eN cu. <br /> Grrr C <br /> 1rs_2 ► <br /> Pr <br /> i�lt.oc�ip�n G:�'gecnpei�t Iii!'�acattii �a�tpecatclse <br /> Ft t f� ?ir fit3 rewrastiii <br /> ra—m—e: a Pink: y�/ of Chlorine: ppm Heat: `F <br /> 11 <br /> "5I iC_C rh O _Z-xp.Date: ink: j a 'F Quat.Amm.: ppm ther: 'F <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> - �6-t <br /> ime in: :/� Time Out: U Page of <br /> EH01624 (2nd K) 4013 FOOD PROGRAM OIR CONTINUATION <br />