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oP4��N c SAN JOAQUIN COUN'1 t <br />a ENVIRONMENTAL HEALTH DEPARTMENT <br />_ 600 East Main Street, Stockton, CA 95202-3029 <br />• cq.• l = ip . Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sogov.org/ehd <br />�IPOtt� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Address: <br />IWO MR <br />.Zip <br />Code: <br />Owner/Operator: <br />JI,, <br />.p - - , <br />5 <br />Programt <br />:iRe-inspection <br />1 MA <br />2Irk <br />WWI, LROW"N'IF <br />���� <br />��-'!Y.// <br />A <br />I Location <br />VI. I ® <br />Temperature <br />�lcItem <br />..Facility <br />Hot hater Temperature <br />Name: <br />II Sink: <br />06, <br />Received By/ Title: 3r, <br />EH Specialist: <br />EHD 16-24 (2n0 pg) 1/18/12 FOOD PROGRAM OIR CONTINUATION <br />