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QO <br /> SAN �JOAQUIN COUN. Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.orca/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Nameof Facility: HN d, /Kt,IAgaL_ 1j16.H SPyonA_ Date: _//-t6 <br /> Address: Z ;O 1. uf� � City: •�{Z�y Zip Code: 75 3 <br /> Owner/Operator: oR5F11v y <br /> ER#Ar CSrb/Y (s/2vuP Telephone: <br /> Program Element: Program Record: v� Inspection Type: �� StiIM <br /> 1641 K- t <br /> 8180 Posted Posted ❑ Re-Inspection on or After: <br /> flW X/ 't, 2 T a Q S29CsE ori ..evL ^' O <br /> IT l0 <br /> 2 S) 9PR 76wfu_ DtSAE&BERS Nolir- <br /> (1) <br /> L'o o /AK. ASS S *L 496&044 <br /> P 5 neo - T <br /> ® IELWRIdAA, PA .•� r <br /> A — <br /> ovation <br /> Name: nd Sink: .F hlorine: -PPM eat: eF <br /> Exp.Date: arew hing Sink: .F uat.Amm.: PPm her: eF <br /> Received By I Title: 7L. alk <br /> H Specialist: <br /> ime in: Time Out: l OO Page/ of <br /> EHD 16-26 (2m Pg) 11/2/09 J FOOD PROGRAM OR CONTINUATION <br />