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SAN JOAQUIN COUNTY` <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> :< <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> +Gl►aH `'. Telephone:(209) 468-3420 Fax:(209) 464-0138 web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: hc : i Date: - 7 12 <br /> _ <br /> Address: City: Y✓; r Zip Code: s �6 <br /> C' GVG/�Pw <br /> Owner/Operator: Telephone: Y 3 G- 13 /Y <br /> Program Element: Program Record: Inspection Type: I <br /> 6t 80 Posted Yes ❑ No Permit Posted Yes ❑ No Re-Inspection on or After: <br /> n �r <br /> Ci ♦ 6/t 1 < P "K . <br /> o � Spr✓:cP a � ��Me � � n lac <br /> o�,J 'r i rU ;/K s No <br /> pExp.Date: <br /> I(jirt and Sink: .F hlorine: PPM eat: of <br /> Narewashing Sink: I Z =F uat.Amm.: GG ppm her: =F <br /> Received e: y <br /> H Specialist: Phone: 3�6 <br /> Time in: Time Out: ;✓ Page ofZ <br /> EHD 16-24(2m pg) 11/7/09 FOOD PROGRAM OIR CONTINUATION <br />