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pR�41 H• �� SAN JOAQUIN COUNw-Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> s `p" Telephone: (209)468-3420 Fax:(209) 464-0138 Web:www.siaoy.orq/ehd <br /> gtl'gd,Ai' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ( �.FAL(rr Vl v— t­ L. Date: ` <br /> Address: (q E w�,/ltiy City: Zip Code: <br /> Owner/Operator: '� Telephone: <br /> Program ElemenInspection Type: <br /> SB180 Posted es No Permit Posted Tes No Q Re-Inspection on or After: <br /> OBSE§WIONS AND CORRECTIVE ACTIONSNEW- <br /> 2 w <br /> SL ' Ob CAWL'42+ VW 60a, e v I t e Q � <br /> 4t,c " <br /> m-k—Wt / C/4c0^ Xo why-✓ cd"-V i . <br /> � �l- t �✓ � Gt r, t. - � <br /> > s <br /> ame: end Sink: "F hlorine: PPm eat: 'F <br /> ty xp.Date: Narewashing Sink: .F unt.Amm.: ppm ther: eF <br /> Received By/Title J-V <br /> H Specialist: Phone: <br /> Time in: Time Out: Pa of <br /> EHD 1624 (2d pg) W2/09 FOOD PROGRAM OR CONTINUATION <br />