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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />a: t{ <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />d{t Fda:+;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />FnnD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: 1 _ �—�_ 27� <br />Address: 1 "N 1 1 L, <br />City:— C` Zip Code: <br />Owner/Operator: <br />Telephone: <br />Q 1,2) <br />Program Element: 1 l _ ` Program Record: S \b12) <br />V <br />Inspection Type: <br />SB18 —Posted Yes` No Permit Posted Yes No <br />Re -inspection on or After: <br />-' OBSERVATIONS AND CO <br />r <br />he 1p y\ F <br />h rc\u2 ill F <br />b 2d J e IP2 `11 ►= <br />7 <br />3-1 F- <br />\ I'>- <br />-4lF <br />'AIF <br />\ res ' n 140f= <br />til <br />kA-. me SCI 1= <br />S' \� 56 3a1 E <br />cheese. "OF <br />.nd i= <br />e X11 <br />3� r <br />cV\ee Q '10 <br />e re6 cane 1 �8r <br />c �11>r <br />e NiF <br />rc�eo., <br />\�.� . Cc.s c�\e 3�l F <br />Sea. Fu 30 1= <br />er. `_5 r e -fir �� - r e�,,� - l -F vJ <br />� ✓ -CC <br />V C C Og — <br />�-tr- <br />CN-'eese ccal <br />1r\ee e 1e 3S _ <br />3'6 <br />� \P s <br />S cF� - ilca2 S� C I — <br />. <br />d ;N)V'l- s '45F <br />J tt Der e L' J(-�A2 — <br />0Y-- lh s Nn <br />Name: Hand Sink: <br />aF hlorine: ppm eat: >p <br />Exp. Date: <br />arewashing Sink: <br />-F uat. Amm.: ppm her: eF <br />e: <br />ESpeciall <br />Phone: <br />G✓ <br />Com_ \L(— 11 �5� <br />Pa oT <br />Time Out: l `0 <br />EHD 1624 (2w pg) 41313 FOOD PROGRAM OIR CONTINUATION <br />H <br />L'L <br />