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SAN JOAQUIN COUN <br /> ���•CSG <br /> 2' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 868 East Hazelton Avenue, Stockton, CA 95205-6232; <br /> .. Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s ov.or lehd <br /> 4LlFORA ' i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Cate:Name of Facility: d1r; 15 1-en\Ae 1)4N _ 7T'71 Address: v� - � S City: SCJ1' 6�1 ZipCode: <br /> 6wner/Operator: t s, U aU 1 ti Telephone: <br /> Program Element: k oZI Program Record: �7�_ I to 0,IS Inspection Type: l�'�,� <br /> B180 Posted %-FYes 0 No Permit Posted E Yes Lf No Re-Inspection on or After: <br /> b . .. <br /> rl 1 A (lsC, � e �+ bCI .Meln-k 4a rd <br /> iC�SI r cC7-&r- t uy- obigs on tbe ti <br /> b6nw, on 1"110- <br /> ftAl war n morel S <br /> U <br /> 3 t�u MLI h dLPy- Cpjrrjs Cm 01-W . Prov" Ynxd ter Wrds <br /> t-r1n VD <br /> N17 wi-Y�n -�hPiu�� <br /> ITM r� i ff- CcirrytLcQ n F &0[ + <br /> 1 are. .�C. L 9 AMr <br /> GO"rrvo G+ the d i g -& ivr eS4 <br /> ...: "� �et_t1VLdtOn� m . •s l� _m�Lo�ati .-: >- <br /> m�tatlire. <br /> 'tm2r cccmr C3dv m_.. .O� <br /> ,, �Sgt 1Nater"��1'►7sra�ute: "°'� . . '31Yarewashing mm <br /> Name: Hand Sink: of hlorine: ppm Heat:11 aF <br /> Exp.Cate: arewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title <br /> EH Specialist: ! Phone: <br /> ime in: ,�, 3 Time Out: '�d i1 Page,9of 2- <br /> EHD 16-24 (2,dpg) 4013 FOOD PROGRAM OR CONTINUATION <br />