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aRANIh" q SAN JOAQUIN COUMT� <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> a :< <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> (IFdM1� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ci ( v t c v l D" r' 4 J G i"- (, Date: —o1- <br /> Address: ��Z /' Kv (,(-'D City: �'a `. Zip Code: <br /> caner/Operator. e a ,1 V Telephone: <br /> Program Element: /`GSL-U C� Program Record: Inspection Type: <br /> SB180 Posted _ Yes( No Permit Posted _ Yes ❑ No Re-Inspection on or After:.. �1 <br /> OBSERVA ND CORRE <br /> Ccockvoa L ✓! 6 ( C r t l titK t.F-(,6.z[- <br /> (Q /� (/tya'i l/1/�(✓ �� A <br /> rLyXXV <br /> q loot � R � G Gti l K l/K vk <br /> read — vae� . a� <br /> ovq-k <br /> -- tie of � v�e Grwt <br /> v �.(-tom• _ <br /> -U = <br /> Name: and Sink: 'F hlorine: ppm Heat: "F <br /> Exp.Date: arewashing Sink: `F Oust.Amm.: PPM Other: of <br /> Received By/Title: <br /> EH Specialist: i Phone: <br /> Time In: Time Out: Page of <br /> L' <br /> EHD 16-24 (2'"pg) 1/1&12 FOOD PROGRAM OIR CONTINUATION <br />