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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> tlooa�' <br /> FOOD PRT <br /> OFFICIAL INSPECTION REPORT <br /> Name of Facility: (p 7 7 TL T/ ' L7 7 Date: <br /> ddress: alid City: Zip Code: <br /> Owner/Operator: h h h ut J Telephone: <br /> Program Element: /, li Program Record: e / / 7 rn Inspection Type: <br /> 8180 Posted _ Yes No Permit Posted a Yes l[I No `_C� Re-Inspection on or After: <br /> VE A <br /> IJ A ! Y(k7 S d dx-Z7/,1- nL ?7L' IkLr <br /> D N !� fc { n d <br /> ` �� (CeJ � /YI ✓ h r44 <br /> Y <br /> J I hopi <br /> r <br /> n f rl <br /> v r - <br /> iyk. la r <br /> rnw <br /> I <br /> Name: iand Sink: T lorine: ppm eat: 'F <br /> Exp.Date: Narewashing Sink: FMet Amm.: ppm 'F <br /> Received By/Title. 4, 1L --- <br /> EH Specialist: 'l L Pholne: <br /> me In: : Time Out: �^ ' - Z Page o <br /> EHD 1624 (2b pg) 1/18112 FOOD PROGRAM OIR CONTINUATION <br />