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A� N SAN JOAQUIN COUN.W <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c9GFc a:> Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: G.CL5 c+_ C Date: <br /> .X7 Z -/4/,-/ <br /> Address: /2 6-7 W City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: /(./ S- Program Record: D `6 3 InspectionType: <br /> 8180 Posted Yes ❑ No Permit Posted Yes Ll No Re-Inspection on or After: <br /> C <br /> F G rErttl{ hI%11 iw <br /> 1 <br /> tri- Yrivi j O s <br /> tlialC <br /> In cooler a d 41 <br /> F d s&41 ,n <br /> Co e - n tX 4 obt S q,4rk-,, e.W-e <br /> of Cc cs r G! S r <br /> rid 13 <br /> 139"/r- A.,ljleyr <br /> From t1&'f4jSt © ei6odF n <br /> Vs (&a s Cooler Av6d isn ,dui V3� <br /> r rec-.L'� - O' <br /> Barr 4os " <br /> Name: it Hand Sink: /O oP hlorine: cam Heat: of <br /> Exp.Date: r,f. _ arewashing Sink: 'Fuat.Amm.: O ppm ther: -F <br /> Eeceived By/Title: <br /> Phone: <br /> S�0 �l'� Time Out: ;O 0 dim Page of <br /> EHD 1624 (2-pg) 4x12 ,/ / FOOD PROGRAM On CONTINUATION <br />