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SAN JOAQUIN COUN7Y <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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: A u S - Date: b - Z z -/Z <br /> Address: n ,7 L/ .Y es 1 �nCity: a 11 7/, Zip Code: S <br /> Owner/Operator: eo r) war :It W <br /> Telephone: a 3 -.7s-a0 <br /> Program Element: 0 V Program Record: Inspection Type: CO hq L <br /> B18O Posted PYes No Permit Posted,"as ❑No Re-Inspection on or After: 7 <br /> IVE ACMN` <br /> C o -n n t R r K, s Of n-/ <br /> s /oa <br /> wa i n Perm fGI a df, Fey fix /e <br /> efklle Fl"W AAeFl" <S2 c-J n e GrAW I <br /> �d 4-4 WQ F.G u <br /> a — � ✓IO�i a �ecJ <br /> i-;'I S <br /> 1,4a. d sat <br /> r- <br /> -dk qjj <br /> �2rn CSC _nrA, r o rWWee/L' <br /> r v <br /> SName: A4 0k C „/an Hand Sink: / ODS- -F hlorine: PPM eat: eF <br /> Exp.Date: v arewashing Sink: -F Oust.Amm.: Ppm her: .F <br /> Received By/Title: <br /> EH Specialist: Phone <br /> ime in: Time out: DS ;Page of <br /> EHD 1624 (2"pg) 1/18/12 FOOD PROGRAM OIR CONTINUATION <br />