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R H. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: {209} 468-3420 Fax: (209) 464-0138 Web:www.sigov.orglehd <br /> LrFoa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U "� I G n G v Date: _9. 1 <br /> Address: 7J • .1 y �r� S City: C, L\ Zip Code: <br /> OwnedOperator: ; ` A 0 I A S I s G 11 C h f L Telephone: <br /> Program Element: Program Record: Inspection Type: G(A4, 'C! <br /> S8180 <br /> 8180 Posted ❑Yes ❑ permit Posted ❑Yes D I Re-Inspection on or After: <br /> 01 11r <br /> S a ;ti 01A4- h i <br /> M oto r• Ou Move <br /> ` rri4;Ril) 111(4 <br /> n ; Le hath �o 1 <br /> Loa L -• or f o'i W •r. aX <br /> 're ( c1 a <br /> 0 ) 15 b ,, ye b (A , l - CIC 4 a15 <br /> 3 it d a I K2 <br /> S b 1 S c C,a Y7 5 i,c1: dle <br /> rc -la <br /> - Ween preles_ jore Len y1r, a <br /> 3 CA C, le f Sir GCo -orrer. <br /> S w 'l -U be h r+ - Sf n ar <br /> r - cc,,A )K nen p Ccr fca �h <br /> 5 i �iZer Um <br /> ..e,.. �....a........ .7:e. m... ..: m <br /> y <br /> [i_M T"� <br /> -door- y i✓ -Fr CA <br /> --c+�+ . 4 V►' G �l-- -- - _ -----.--. _-_._._ _.1. .1--�-----W_ ..1._.�__^ h-------- _7 <br /> -___.--_ _- -- _. <br /> k 1 r L' atJ T LA e, fJUr F <br /> Name: G of a S Ccy�r and Sink: 4-F hlorine: �� ppm Heat: of <br /> c <br /> Exp.Date: Warewashing Sink: a� of Quat.Amm.: ppm Other: of <br /> Received By!T' le: <br /> EH Specialist: _ Phone: <br /> i O <br /> ime in: ''! Time Out: Page of <br /> 10 jy <br /> `f <br /> EHD 16-24 (2ntl pg) 413113 FOOD PROGRAM OR CONTINUATION <br />