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qpSAN JOAQUIN COUNENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax.(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: NAILI DJ //V0 Date: 6 —1+I — 1 <br /> Address: ,7A.,l � � city: S� Zip Code: �s�l <br /> Owner/Operator: � V/ , -0 Telephone: 3� —az <br /> III <br /> Program Element: Program Record: Inspection Type: a <br /> B180 Posted Yes NoPermit Posted Yes No Re-Inspection on or After: <br /> 1 1z l7/SN Aou ac S — 08 D+7J DIX 4 Gt/ <br /> �t T Sri, s <br /> CoS 21eST1200 T 0jL14I j rrl$ <br /> 6 i <br /> ro /s of ,cs - a VNO <br /> f3 <br /> o*L K �' / ,N�L� Ude <br /> o <br /> /7a0A - <br /> L ,1a UA-r 3 / hn�- AVDAexg 0 o <br /> F7-0)1 ;21<-/ ti1 U %ZEo f, 1 <br /> 8Ab Ckm� <br /> A -€ &V-S L FooAl ✓C ��£ �iL <br /> u 7657 )2DO14( . <br /> 6J �r n )-11 <br /> °F <br /> lliAl l arJ . X004 JXTOF <br /> cation Facility Hot Water Temperature <br /> Name: Hand Sink. .�F C lor' e: 3V ppm r <br /> eat' °F <br /> Exp.Date: Warewashing Sink: -F Dust.Amm.: PPM r <br /> then: eF <br /> Received By/Title: <br /> H specialist: Phone: <br /> ime in: Time Out: Pag f <br /> EHD 16-24 (2-pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />