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SAN JOAQUIN COUNTY <br /> a 1a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> • •.. Q• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Y GY r bate: <br /> ddress: City: Zip Code: <br /> V' .5qtr )�` S1,5 <br /> Owner/Operator: Telephone: 1,`7 <br /> Program Element: 1 j_�o Program Record: y �e/ Inspection Type: <br /> I U� <br /> SB180 Posted ❑Yes ❑ No Permit Posted ❑Yes D No Re-Inspection on or After: <br /> 'E)E3SERIAT [�10 SAN 1 rC0 R�a11/E A TIONS <br /> 'f cCz— g2 <br /> 0 e v-e,- r <br /> Hu $ <br /> d _nr iuv ✓ <br /> 7 n Ltc �, r10 CVUC-crCom, !� t�u-f'c> ramaC,gy�c <br /> P <br /> ty. 11 1 W a�e Y IJ <br /> i r r -� <br /> rr , <br /> i <br /> I <br /> I <br /> +-t r�0� a • ru�r -- 01,.-La e4 aL IG v <br /> Lj <br /> r"d) c�rc F 1 1 .e s y i �.4.-I&i <br /> Ternperat ac ti n' T.eriip Q c o a ra u M <br /> Facili o . a r.• � era re <br /> Name: 4arewasjTVink: <br /> Sink: fl� of Chlorine: ppm Heat: of <br /> Ex Date: o Quat.Amm.: Other:p• F ppm °F <br /> Received By!Title: r <br /> EH Specialist: Phone: 6 .3 <br /> "7 J <br /> Time in: Time Out: Page of <br /> EHD 1624(2^d pg) 1117109 FOOD PROGRAM OIR CONTINUATION <br /> f <br />