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699'" SAN JOAQUIN COU Y <br /> ) CSG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.slgov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Fl h hle of n S (.t_(0 I ) Date: q-2- —1 <br /> Address: ( 25 2 ,(" , AV City: 6,0 C-IC f,0#1 Zip Code: a) Z0-7 <br /> Owner/Operator: Q n rl O Telephone: L, p <br /> Program Element: &Z!5 Pr ram Record: n (ZO (� �-1 3 Inspection Type: �Li�C U �� <br /> 6180 Posted Yes ❑ Rermit Posted 1" Yes ❑ I Re-Inspection on or After: <br /> ':b ✓Ltd•1- °�-P-c�'Y rh-Y.r P_ l' r f, C� <br /> r)-ev) •` <br /> J� <br /> •z -each ' v r� JAJ atLs <br /> eQ h w <br /> v-,; ..� {ase <br /> or i's"4 5 �?C'I V'j-0- Wto(-.;A / IV-+ <br /> SLC n h 0.4- rrrJ kj p r - <br /> to r U lid Yx4 V-e,- ' <br /> -�C►�I r C r /`GY C.e,C Ce-S a ye- <br /> _5<L-2r, <br /> e-.5 a C t r s ,. r I sfr,t r 0 Cl--i' de- b I <br /> ���{ )�st_(1C. ✓fes ,��.e �'� J <br /> tL V rc VEb,'y I CV P/V- CclYels X ,;2'i "o d HT,-Iv-t ell eL' L)K � <br /> eryl <br /> rr LP l _ <br /> WdOor <br /> t e- -A- • r od �r_ <br /> a � ►- r � - ��L << �� 3� - <br /> abp r Y-e- C004e r ;37 <br /> civo & r- <br /> Name: r� �h Hand Sink: -Z.2 'F Cl�t�� .� ppm He of <br /> Exp.Date: a washing Sink: Z -F `at A m.:, they: <br /> � •�D_f,( �—�_ ppm °F <br /> Received By/Title: <br /> EH Specialist: - Phone: q! <br /> Time in: Time Out: Page�of <br /> EHD 16-24 (2° pg) 413113 V FOOD PROGRAM OIR CONTINUATION <br />