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SAN JOAQUIN COUNTY <br /> W ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web;'www:sigov.orglehd <br /> �IFdR� <br /> FOOD 'PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ��k r Rn 4 pate: ; <br /> ddress: FF .] City: Zip Code: <br /> b T W.- ) Soh W942 S�Xh ls20s <br /> Owner/Operator 04A q^ Telephone: <br /> L to <br /> Program Element! 1600 'Prog . m Record:, Inspection Type: <br /> '66r 0o 3ont Cori 1,1;h f XPi Jrie <br /> B180 Posted ❑Yes ❑ No Permit Posted a Yes ❑ No Re-Inspection on or After: ' <br /> � �I ai ►rtic s u lm rn�rE ► ops <br /> 5 . e� � .s + t d 1 + v' G0G f,0CgC,AO Gkserve <br /> S 1 1hGIA fo C C IC Gh <br /> z crt V ir 0 <br /> u o 9 rCcr3e b u. td- u P tkv\ der G /Pa 11 <br /> A P)v <br /> I Vse ,-Ve d A A G 5 4 Gcn /cl rPCr -/ <br /> { rd S P/ ra C. Is a W <br /> rv1or+ h I rVj6fjh5 <br /> 1tamAion. em k. lles[1 IJ�bcatoR1 3 Iteri� d�ictlOT@inp6rdture <br /> a oa 5aEetj Cert; ost Facilit�/J�ot gYater�Tempe>alfurekw WahewasMngM_ <br /> Name: Hand Sink- Heat:hlorine: ppm of <br /> Exp.Date: Warewashing Sink: of uat.Amm.: ppm Other: -F <br /> I <br /> eceived By 1 Title: <br /> H Specialist: Phone: <br /> ime in: r, d v Time Out: Page i of <br /> END 16-23 {21d pg} 11/06/08 FOOD OR CONTINUATION <br /> i <br />