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SAN JOAQUIN COW414 <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> P: -1 <br /> _ 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sioov.org/ehd <br /> 9�/FORS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: i _ r Qd . C-,,` Date: <br /> Address: JS >7 Fk-nL` Y qty: C)<+D Zip Code: <br /> Owner/Operator: -�be-r,F, k-t lla Telephone: Lq O _ <br /> Program Element: (b01 5.2.3 Program Record: 5 35 1 Inspection Type: -F na I C G r <br /> SB180 Posted ❑Yes 0 No Permit Posted 17 Yes c No Re-Inspection on or After: <br /> ATIONS AND CORRECTIVE ACTIONS <br /> s e Y s+r-o o rn <br /> YS a- <br /> curin l Y�e Y Iac< <br /> GooLer — � tAnd 'i <br /> l <br /> * ( U <br /> m �owe Y- <br /> t n S Y <br /> r 5 GG r <br /> PL eL LA Lt 5 ku <br /> —Lpm 02 Wt,' m L Yi <br /> Y' vu` <br /> O - K 4-D n 13G4r 4, L. rn4- <br /> p haeicl-WW kin 51 <br /> Y v - - lIq 1901 000 6TQ <br /> pxp.Date: <br /> r- ° <br /> IA <br /> Sipk: �D °F hlorine: ppm eat: °F <br /> arew shing Sink: °F Met.Amm.: PPM er: *jo O°F <br /> Racelved By/Title: <br /> EH Specialist: L Pho : 9153 - 1 <br /> me In: CV.110 <br /> 7 Time Out: 0 ,05 Page /of <br /> EHD 1624 (2-pg) 1/18/12 FOOD PROGRAM OIR CONTINUATION <br />