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SAN JOAQUIN COUNTY <br />`y ENVIRONMENTAL HEALTH DEPARTMENT <br />Qa <br />_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• �4.. ��P • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />(ipbW i <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: ID12411Y <br />ddress:Z/ <br />City: Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: Program Record: / D! <br />Ins ection Type: <br />SB180 Posted Yes ❑ o Permit Posted es[ 11 No <br />Re -Inspection on or After: <br />FHD 16-24 (2°d pg) 4(3/13 FOOD PROGRAM OIR CONTINUATION <br />_W A Jill 1111 <br />K/.ii1 <br />�iu _ <br />/ . ./, .. 011/_� <br />�i (�' L. ' _ O & MAZ�, �- //'ice <br />I <br />, /fit w���A <br />�• <br />=17 WA7 /d <br />r // ���� t. j. �r � IL I. ..�I � i Lr <br />PAW WIM, <br />ppm <br />.... <br />..• <br />Received <br />Eli Time in: <br />�WR <br />3 Wr <br />L%„- <br />- ..... <br />FHD 16-24 (2°d pg) 4(3/13 FOOD PROGRAM OIR CONTINUATION <br />