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SAN JOAQUIN COUN'.--., <br /> _ ENVIRONMENTAL HEALTH DEPARTMENT <br /> P: 21 <br /> b < <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4�iRa. N;P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s6Qoy.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: /v * Date: Z _,5-_ !3 <br /> Address: bG` 6 _ City: Zip Code: <br /> Owner/Operator: G Telephone: <br /> Program Element: Program Record: n s` Inspection Type: nQ <br /> 7 61 <br /> 6180 Posted&Yes IFN4L Permit Posted-<Yes ❑ No Re-Inspection on or After: <br /> !. <br /> rlper be too a d bun a qw-p~f ceolc.- One Ska Lk--57 <br /> F car al. bas sued a �. c -acne <br /> C' csstIT Zo f orewe c Lei <br /> 1$or Ls co/Xec-)e <br /> r- e eo r sr, -*z-s <br /> 7? ,eiaC/ 116C.r, /e ce b � ✓Doan u)� rax <br /> i E wt S far Ce --aQ <br /> >� � j <br /> • Gil? !7 G�O <br /> '.e2 <br /> s t04C anoCD //CG /tt9ul . <br /> Floor 6-t e s l -5 Gvud a lavr '&r- cmc r..xie rv14 1' /I <br /> clke-af,\ a d T bt,?z(GG ' /oox 9.0 U� <br /> t-ire 4z <br /> 44fabgn eL .6-2 <br /> 58/FO 14 AS-f- W a-+ COhS •C <br /> O e4-IC C,06f <br /> hJ� Ftte O" R4r-s-trPoOr- <br /> idy Mc <br /> —Oka <br /> C ail w 4(,- Fr 'i ' wa h o <br /> �IGrL C u ke 0 ' a'W& ale - -VO' <br /> Il - " S /t <br /> Mc f f -/of r /la0" # r /lor 'foF <br /> ame: !/ uQ- r0 Hand Sink: 03 ofhlorine: PPM eat: of <br /> Exp.Date: 3 9 arewashing Sink: of uat.Amm.: O-f PPm ther: of <br /> FEH <br /> eived By/Title: ✓1 , �� <br /> Specialist: 'u t - Phone:e in: Time Out: Page of 2 <br /> EHD 16-24 (2m pg) 4/9/12 FOOD PROGRAM OIR CONTINUATION <br />