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alias'" ° �✓ SAN JOAQUIN COUIedY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c r° Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ,AIFd'A � <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ENameofity: Date: :71ae I City: ZipCoeor: X/ Telephone: <br /> nGti✓� _ent: Program Record: Inspection Type: <br /> Dyes ❑ hermit Posted ❑Yea III 2Z /� Re-Inspection on or After: <br /> v c�--tom -&" m4m CA'e' N Ag `Fl �fyF. <br /> lout t.ce D e' e.d OVA ,t u rnaC'kKre 4U -",U "'K <br /> avtxtLf <br /> c-pt.Ad d. wtdc r K <br /> fi <br /> kw <br /> w`2Gl Owe vul/ ..$tp w#— �-� u m. �•�., <br /> P <br /> Ilk ./v. <br /> z - ti 1 <br /> w`e�l a w� <br /> GKIA.VVO-',4._ <br /> y)✓lIM_.C ,�r (, <br /> — l T/` <br /> OW 't1 C6 <br /> " .&q ".�-�FNF <br /> a vh XAq F <br /> Name: N and Sink: / US ^F F <br /> hlorine: ppm eat: ^F <br /> Exp.Date: arewashing Sink: "F uat Amm, ppm er: `F <br /> Received By I Titl <br /> H Specialist: Phon : <br /> Time in: ' 1 I <br /> f Time Out: U�Q� G� Pag" <br /> EHD 16-24(2-pg) 413113 `I FOOD PROGRAM OIR CONTINUATION <br />