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a�4yty. c SAN JOAQUIN COUNT'(( <br /> ?K ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> c... P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siclov.org/ehd <br /> 4Gl FORS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: "1-0Date: _ <br /> Address: �' ate-- mo <br /> ,, 1 n-., /. <br /> � ki .- Cit <br /> Ly: Zip Code: 9 5;1-0 '7 <br /> Owner/Operator: 'oo fts -I„ Telephone: tf010-3097 <br /> Program Element: / G ;L& Program Record. P R 01(O d F b Inspection Type: lk�in-tr <br /> SB180 Posted Yes No Permit Posted Yes ❑ No Re-Inspection on or After: <br /> NS AND CORRECTIVE ACTIONS <br /> I.cv }'Cl uj- o7� 1 <br /> L <br /> LeA u <br /> to V r -fu W <br /> s <br /> r <br /> i-o <br /> c1 <br /> Love <br /> 6h 121-00f Uq hi� <br /> _r <br /> rlve /? L i,-Aevmo r . <br /> r 3-comp I xi F <br /> 7` 1 L/'ts F "La- Loo/42 r I <br /> Y-.5;) ej a d,6/ "7 qa <br /> uF <br /> z {r <br /> . .`. C% Q and Sink: 7 ^F ny • -N lOQ ppm H : .I!/)21/ T <br /> Exp.Date: G(/� a re as In SI eF t.Amm.: ppm 5 00 <br /> Received By/Title: <br /> H Specialist. Phon : 016-3— n <br /> me In: l05 Time Out: OZ 'Cl <br /> 7 t L J O Page of <br /> EHD 16-24 (2n pg) 1/16/12 ' FOOD PROGRAM OIR CONTINUATION <br />