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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�4(/dd'aN`a Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.siaov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: <br />tt <br />ddress:City <br />Zip Code: <br />'q <br />6 <br />Owner/Operator: <br />Telephone: <br />ILI\1� <br />O <br />Oo� <br />Program Element: Program Record: <br />Inspection Type: <br />I 1 <br />� <br />Gt/1 <br />B180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />NIR-' I <br />r/'i14a'TTI Is' �TL r� <br />tt <br />22 WN 1 01 <br />� <br />ILI\1� <br />1 I i `� 4FMW <br />' <br />*M DIM <br />�� (!'' :���.►i�,�.. I <br />ILII_ ! r ii���� ti . ,�.�'J , ' ZS[r� � �' ��� <br />/��/Q <br />� �i���:�•1�/��I� ♦.ice � � � - <br />'� <br />� � <br />,I�( <br />TeMperataFe <br />Food Safety Certification arewashing <br />I <br />Date:• <br />• - <br />'Time Out: Faggot <br />/ <br />EHD16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />