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SAN JOAQUIN COUNTY <br /> ,ar��.coy <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ;.. p.. Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.ora/ehd <br /> Gik6"a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,l r } _ 1 r 11 <br /> Date: III _ 2 <br /> Address: 0 2 I I n City: _ Zip Code: / S 3 16 <br /> Owner/Operator: Telephone: / <br /> Program Element: Program Record: Inspection Type: j J n Q <br /> 8180 Posted Yes No Permit Posted - Yes '._i No 1 Re-Inspection on or After: <br /> 11,, ND CO;; <br /> C4 C,1� 0rC ba ; you Oh 4he (Oor, Clegn <br /> �O d(4 . <br /> lable 6I runn: w l49 •t 4ot <br /> q iT. 6QrrocJ i n We <br /> V ? 1u 6" C' 1 ' , n t 211 [0%4 %s h "11-r-- <br /> 3 <br /> f1-r <br /> d; l0 3 9'f= I C)v1Sc I <br /> Fac IIS of Water,Temper urs <br /> Name: Hand Sink: )0614- of rhIorine: ppm eat: =F <br /> Exp.Date: Ink: /� eF Ouat-Amm.: ppm ther: of <br /> Received By/Title: <br /> Hspecialist: - - Pitons: /6-f <br /> me In: ,-� Time Out: Page <br /> of <br /> EHD 16-24 (2-pg) 1/16/12 FOOD PROGRAM OIR CONTINUATION <br />