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a¢`�u�N• c SAN .JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• Cs•OC1PdQ��'P Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.sjgov.ora/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />. - <br />_jJ«rte, <br />Zip Code: <br />11wrier/Operaton <br />Telephone. <br />MEN_ <br />Program Element: <br />Program Remi;ii� <br />-.:W <br />, <br />Inspection Type: <br />Sell :, Posted Yes <br />No <br />Permit Posted Yes No <br />Re -inspection on or After: <br />ANNEIRM <br />Wfjjfl�p <br />AM <br />MANORM- <br />RAW= <br />FZ <br />itARM <br />L� <br />MIA ILS 1. • <br />�^ L' <br />W <br />II�L` <br />05 SER <br />-0 <br />11iffi_ <br />-- — — Remperature <br />--7- <br />C Food Safety Certification <br />Facllitjyi�o7t4iatar <br />'Name: <br />Date:— <br />Hand Sink; <br />Received By I Title: <br />Phone: <br />time in: <br />Time • <br />r <br />EHG 16-24 (2 -pg) 41313 F000 PROGRAM OIR CONTINUATION <br />