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SAN JOAQUIN COUNTY <br /> �.•' �.CSG <br /> ` X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.orglehd <br /> 4LlFORF1 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: N\ ,M Date: �c- Z'7_ <br /> Address: 2`-� QCity: zip Code: q <br /> Owner/Operator: fes` Telephone: <br /> 1 <br /> Program Element: Program�Record: Inspection Type: <br /> Is <br /> 8180 Posted ©Yes ❑ Rermit Posted D Yes ©I Re-Inspection on or After: <br /> M, E*OiONS <br /> - `-. <br /> �� . ,..��-��1�:.���j C�J♦�o rn I2r�� r �C '�"L4' � Z(c. '♦-�_ ,/_� y,.�C 1 r�5_.___ <br /> (� �, Y_?c C,r♦,Z.232 7 S _ <br /> \'Z!C1,Cl-.w Ce" [ `\ <br /> esv` S' - <br /> \1 <br /> IS <br /> - C"_." <br /> it�A ttttl Bbd# TAtpeslipe <br /> 7omperature <br /> rAh�i-'�7�4'� �°� .......... .... .. �: waEOlf�a7S�#Wi� <br /> Name: and Sink: F Chlorine: ppm Heat: "F <br /> Exp.Date: aashing Sink: 'F Quat.Amm.: ppmOther: _ "F <br /> Received By!Title: <br /> EH Specialist: _ Phone: <br /> _ "'A b--�3.--13 � <br /> Time in: . Time Out: Page of <br /> EHD 16-24 (2i°pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />