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SAN JOAQUIN COUNr1r <br /> 'aP�cOc <br /> ?a 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.s'goy.or0/ehd <br /> ,4+FOPS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r: @ r C I /c, Date: <br /> ddress: City: G Zip Code: S <br /> Owner/Operator: Telephone: 3 6-319 L <br /> Program Element: Program Record: Inspection Type: o <br /> SB18O Posted Wyss ':J No Permit Posted VYes ❑ No Re-Inspection on or After: <br /> M74 UJC4 1 r, kialu { bu: 1 -u on Cod.'SK <br /> IP a t <br /> (OVIC-1 <br /> re Item/L ' .Temperature <br /> 1 <br /> ',.JN/I{' <br /> -;h i <br /> S �4 L/ / / <br /> Name: N/A ink: hlorine: Heat: <br /> �U" + `F PPM e6- <br /> Exp.Date: Sink: !1 3 of uat.Amm.: Ppm ther: =P <br /> Received By/Title: - 1 <br /> H Specialist: Phone: <br /> ime in: / Time Out: _ Page of <br /> EHD 16-24(2w pg) 11=9 FOOD PROGRAM OIR CONTINUATION <br />