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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: yo %>� .r e r i r yLtC _3 Date: &—_6 `I <br /> ddress: y SSJ t,3 Cie is )-"� e City: `i.-L4- M KI Zip Code: 9 :5 <br /> Owner/Operator: ) Telephone: <br /> co R n< c.t cx) q �S v n V C C,2_I Cy`7 L+-o`�t?4o <br /> Program Element: Progr Record: 60 00 30( , Inspection Type:6i <br /> IS 6180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑t Re-Inspection on or After: <br /> B_ SERVA�TIONS AN. : URF�ECTI <br /> La'i n--kn rl-I c) t U-Q r 1-4 -[-C hA,Ve- ►'Yl al u ae D 15 G h A its t t fj Of e,� <br /> rt,e ok- U Lcd e r— i � fDro r-" K:i .+—hq,-I zi 0 +0 r,0->fi-vv rn <br /> Ot h - k o n c,S - l Cp rte <br /> ` 'L 2, +c�4, C) Y�Y-J Cil "I_dj'j kLC) LJCI.S C I ❑t:Q ,-fir <br /> It fit [ 1 �O rri'ar I <br /> hLo n C�t> ru U-P Y- &0 " . '01.,#_ ku cam,-d o► <br /> f[0.U O r- m c h-D rYLk_ rnA-Ck.-P_ ►r I a 5 � 0- ou 1 <br /> �l inti GI'L.i �� 5 rt d-v r � �C,x-G ' -• ��1 -LA Gh_c_ <br /> 1/0 <br /> A V"y1'L R r a✓i d Y2 QAC v2. 20 y La [ ' 01 <br /> (YL.Prn.berr Com • !r rPS+rxx; (C' n 4 1-1 4. <br /> i-S A yl CA jKt�-hr > k o d v - r i [ <br /> A vl vl --f Y O r n +k-Q-- ►r V•-tI a2 c. 1-1e' r.-"o -:3 <br /> SID 4,v oLo,4Y %c) Lo Yui x.13a. au)ure co 4' 5 <br /> t:[�rn D i.ouLn-FZC-1 1�< C A <br /> I- wa • Y1 r )'Lct ri CIS aor'. e u stil <br /> CL S gYLd LAV On 4 rn t Lki <br /> r r TX_P_+r t10 -e.e r-o n C1L is--s <br /> q1ICA d, r ' rr <br /> IlK i CL Y% -f_P%AJ_e_1 a arid w a r,,-► <br /> rNameapt r <br /> lot- <br /> Name: <br /> : and Sink: of Chlorine: ppm eat: of <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm they: °F <br /> Received By I Title: ' er <br /> EH Specialist: / Phone: q 1.i _-"jc 7 <br /> ime in: ! J Time Out: Page of <br /> EHO 16-24 (2n°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br /> 1 <br />