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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.smgov.org/ehd <br /> ��FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �1 <br /> ��UU eoRfM NI Date: A2c!-/v <br /> Address: //� ^7 w 2e n( City. Zip Code: <br /> OwnerlOperator: L 1!, I� t'S ICJ Telephone: <br /> Program Element: � Program Record:eT41::t0 33 Y Inspection Type: G�vrit�'/,14+�vT <br /> SB180 Posted Q-'Fes-B-NQ— Permit Posted_L_Y_es ❑ No T Re-Inspection on or After: <br /> K8_00 0 <br /> lCapn /.,n r SZ�4TNs 77� i r t,I T RFS arm G s ea, t <br /> C 16 bQt ooA J5 IUo SIXQ,0A a <br /> R PA 2F i7 "Sr"6 Nv 7- S +@F b a2 L'Xl-f V 6b <br /> I�LgI�r $ f} i►'rc��/ {'�cXr+2A ^/y/S �!C'rti( N�tS ao Rwr�r <br /> �11J R 7w(s panow n PcRm�r iR 6kL D Airruirre:s <br /> r vi e .5c4 -�sF � Souk 4 �s r S3 Ti <br /> 1'yiks� i /a I SGS z <br /> r9� cc ry c �/ef1 rCF T hf+ u w r r r GHn?C-t5r9�Z�. <br /> 'F*?f r4�: &�/Wgk#Mk WIT& A 1y a NCH);lnb 69 r/.K ";V 5 c �-- <br /> �S� D5 Al u57 F- //e-4D �9r' l 02 ec,4 rDER <br /> �/q/UTR IVN5 Q - 4SE « 7w15rY AW:PeuRy A/G yT /3 C, 77frS i Tcr <br /> Sa naF P�9d�' Pz ,�577 a ov 7W keok v rhe r��3 rs <br /> od2 � S7ts+2 R69�'�5 �� rrbF�i��c <br /> pl <br /> F ZK 'Q4 <br /> &WRIL -C r-5ea4 �3 L <br /> Name: Hand Sink: ofChlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of uat.Arnm.: ppm Other: of <br /> Received By!Title: <br /> EH Specialist V u Phone: L1 M'? <br /> Time in: '2•fo Time Out: 7 J 7 r Page/oft <br /> EHD 1624 (2n°pg) 4 j009 FOOD PROGRAM OIR CONTINUATION <br />