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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • c;.,.s. ,...;v Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s gov.org/ehd <br /> ��FORl <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: uE(Lty RGj,t VA Date: _/ -f O <br /> Address: I t{2 (a) rw$T City: 77tv,d ,r Zip Code: K37/ <br /> Owner/Operator: MA �n� _ �ru�t Telephone: g� Y,�Z7 <br /> Program Element: rogram Record: Inspection Type:-.. .r <br /> SB180 Posted es ❑ No Permit Posted f es 0 No Re-Inspection on or After: <br /> A < P 7Af f4T 'o° r <br /> r/U <br /> _(fu <br /> �0 <br /> sem"--- <br /> pame: Hand Sink: `F hlorine: ppm eat: •F <br /> We washing Sink: -F uat.Amm.: ppm her: "F <br /> Lim <br /> e in:eived By I Title: <br /> q /_ ____-i � Time Out: . Page <br /> in: <br /> EHD 1624(2^'pg)-112!0: FOOD PROGRAM OR CONTINUATION <br />