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or4V'". 1 , SAN JOAQUIN COUNT. <br /> �r�'•9c <br /> ' ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: : < <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> ... a Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> 9clkda`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S Date: S- S—// <br /> Address: ' M A <br /> v 4!.. City: Tri, (7z Zip Code: c)`S 371, <br /> Owner/Operator: Telephone: P3 _ 4S2—Y <br /> Program Element: Program Record: Inspection Type: 2= V00 _ <br /> B180 Posted A�Yes 0 No Permit Posted t Yes 0 No Re-Inspection on or After: <br /> 7fmU 0a4er- a l 3 6om unn.h ; )17'F ^it r�/ G; ✓1 �u; rl yrer .{ r 4 ss s v rr s: a <br /> �U rej Ir000l )aCKJ W pr J e r- roll c <br /> In <br /> O F p �er i r\ t <br /> Temperature Item/Location Temperature <br /> 2 -dU '{or) r j CMIIM1� <br /> Name: I AN}�e r, Hand!SInW!j!0!0"� -Fhlorine: ppm Heat: -F <br /> Exp.Date: ci 7- 11- ) ) U arewashing Sink: J of Dust.Amm.: GC) PPM ther: of <br /> Received By/Title: <br /> EH Specialist: Phone: I/ �6 <br /> Time in: /o V. it!I Time Out: Pegj of <br /> EHD 1G24 (2-p9) 11/2/09Y FOOD PROGRAM OIR CONTINUATION <br />