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SAN aJOAQUIN COUNTY <br /> Nr. z ENVIRONMENTAL HEALTH DEPARTMENT <br /> : a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sioov.org/ehd <br /> 9cil=ba�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: <br /> r oLar 00 I Date:� ; pF Trac ,30•/ y <br /> Address: .� IIIA. S-r City. —Frn Zip Code: rJS,j7L <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: p <br /> lam f r�C <br /> 6180 Posted ❑Yes ❑ No Permit Posted []Yes ❑No Re-Inspection on or After: <br /> I ro � rb IGtK rK ' A � 1 e� m atr n .r r.1Yc / <br /> In 2 ule K <br /> Pro duct S. a4:n c 4 1h 1 1... R <br /> KCr ( r a /< n , Q a r in <br /> 1 <br /> fTY) GI A 140 4i a an S, �r <br /> ro Va de -I h; dellif Ielns or,or- 4o Aa5Ja <br /> Hl o1 I <br /> ul F qWrsJ (A)61 <br /> Ineoy/ !" /ylrul <br /> lo(N eks 1o y!6- <br /> Name: Sink: �oc) .F hlorine: ppm eat: .F <br /> r 4.0 <br /> Exp.Date: M Sm <br /> Sink: /2c 'F rust.Am.: ppm er. •F <br /> Received By I Title: <br /> EH Specialist: Phone: /L6 ,� <br /> ime in: 0 Time Out: r LPagjof <br /> EHD 16-24(20 pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />