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,SCA Q°Aa SAN JOAQUIN COUr-i 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.sigov.org/ehd <br /> 4/'rcar <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -e- CO 44'b-4 Y Date: <br /> Address: 3&0 l City. 5-k)—,,K 46 h Zip Code: .a` <br /> Owner/Operator: 13 0,r7 A -t • 1 �T Telephone: <br /> Program Element: 6;2-3 P ogram Record: RD S Inspection Type: <br /> B180 Posted tFYes ❑ No Permit Posted • Yes L'. No Re-Inspection on or After: <br /> OBSERVATIONS AND'bORREg&E ACTIONS <br /> l 1S oom v ho-- Wader- of- l-;tO'F- was <br /> vncl rt ho4- ,ler r c1 a-ler / <br /> c A 1 2/.0 o -s <br /> l yr <br /> 47' <br /> r Yt0 <br /> La e ✓ <br /> YIPte( 3.00 n 1 61� <br /> Aa rW vle, <br /> ` rature <br /> ame: 4and Sink: of hlorine: PPM r <br /> eat: of <br /> Exp.Date: Narewashing Sink: eF Met.Amm.: PPM ther: e6- <br /> Received By/Title: <br /> H Specialist: / / Phone. <br /> Gs'LGI T / <br /> ime in: 7 y, Time Out: G�. !J. D Page/of / <br /> EHD 16-24(2m P9) 1112/09 FOOD PROGRAM OR CONTINUATION <br />