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¢41N v <br /> '¢r'•�.Qoc SAN .IOAQUIN COUNT <br /> ?< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> 84.• 6 Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> 47pi5'nr' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -� n 0 Date: 067 -D 3 —/ 2 <br /> Address: 'L 'SOQck I City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: l0/ Z Program Record: QR 52 g6 Inspection Type: <br /> y� <br /> SB18O Posted Yes _ No Permit Posted )Yes _ No Re-Inspection on or After: <br /> OBSERVATIONS. ECTIVE ACTIONS <br /> 0_&3 <br /> Wd <br /> a lkr /a z-�/ -!o vtl krh beX 38"/" <br /> so' _ 3`l'F <br /> in <br /> Ce emperature Ch <br /> Name: I Sink: �'F Ch ro a !DdPPm eat: -FExp.Date: a44:d <br /> ewashing Sink: o .F Oust.Amm.: ppm her: .F <br /> Received By/Tiller � G <br /> EH Speclallat: Phone: <br /> Time In: Time Out: a . S Page of <br /> 2-1 <br /> EHD 1624 (T^Pg) 1118112 FOOD PROGRAM OIR CONTINUATION <br />