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,�auln, o <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> c�aAA`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Eddress: <br /> : 1"1f5n1- - �� Date: <br /> ' �4A/ CityZip Code: <br /> Telephone: <br /> : u $�� EKK.fj'7 -5-e"t: / . Program Rewrd: .s•Q9� . �� Inspection Type: .OA*� lyhcnr Yes a No Permit Posted 0 Yes 0 No Re-Inspection on or After: / <br /> OBSEMATXMS NE ACTIONS <br /> I !/AIu.D S/ti K oT l�/i rER T TteRn,/n,�G. a r l"/++wsf/J r.t <br /> SM.r>� �91� �Ttct4clu 77f� e AAaD Nt 72, 1A, 3�sTv <br /> �9Np a t5/ 10 777 5 7202E Rc� 4 70 /yi! �• <br /> r��cRAl3tc Qt ►lu w.v lisaR •u G' T A" f Dr <br /> p I/YE h4D6 A Af /3 /alit e* a Lk- 1 S Alt <br /> A) 7-1ytr 2t kETbir- ! /4Triub . s /� Arl taco <br /> Nogd HA/de //V Ac-,y& (OR #90 b rV4f <br /> T <br /> O <br /> K 7a f SS u.E PE Rm t% OiV / K4,II A411> <br /> fFR <br /> IA"p_ ISpq 64, :TM/j,1 Ab/< ln( - 4w/r Oe <br /> .. Kum f luation„ Temperature _ kem!Location _1 Temperature <br /> 2 DOME TQ <br /> r 4ut'4 <br /> Food F - ,;^FaaftHot Wabw Unpaap>va Warawrahft <br /> MoAyf ���o< Hand Sink: 'F Chlorine: ppm Heat: =F <br /> Exp.Date: _// _ /S arewashing Sink: 'Z "F uat.Amm.: ppm then. "F <br /> Received By/Title: a j o. \o <br /> EH Specialist: 1,11 Phone: yo 7 <br /> ms in: <br /> 'D , Time Out: 'O Page / <br /> EHD 16,23 (2w pp) 07/29/09 FOOD PROGRAM OR CONTINUATION <br />