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oPq "" SAN JOAQUIN COU. ' <br /> 2-+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4.,rFi arc Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> � oe <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ';+a Y- bu <br /> Date: �5 <br /> Address: 2- ryla r-C'h Lh City: Zip Code: ' <br /> Owner/Operator: q Telephone: L,Z_6(a3 <br /> Program Element: V I,�� ,�v Program Record: n ,,�152 q g Inspection Type: 'Rbu-" n-& <br /> B180 Posted Y+ ❑Yes %.permit Posted Yes ❑ I Re-Inspection on or After: 2Wep_� <br /> + Wq+er no lion e?i at4xh a+ 1107. 5 h4 LL he <br /> CA U rn Lo cj-e-e-s . <br /> cI �1 r�S h-t ✓� S i 1 c`c 5 s+p rs 5 ro Lm <br /> r <br /> 5 <br /> La-5 pq r-e.1 Ls C)n Cil. bhz7-oh-v� 1 ` y �6 tl <br /> rt a-C ✓r O1 y�YLe- e I v-cs no a- <br /> �'-1-e n - i,l) L 'n n-t: +•i• z e- -4� <br /> vLea. *- <br /> OEM1 <br /> Fron-1 • s 1 a ��� I c�wo r� C">e 4 <br /> ►� C�✓ w O d �_ or �' 811-1 Y K 90 F <br /> cl ov- '' 31 rum-- `� F <br /> I MImMOM <br /> Name: I�w v`,� Hand Sink: ' �� 'F Chlorine: ppm at: � r <br /> LRAAi Ae \ ,1OoF <br /> Exp.Date: _ I _! rehing Sink: ` 10 1(2X of „1 G(� Ppm ther: °F <br /> Received By/Title: <br /> EH Specialist: )ne: 953 <br /> 5 2 —'76�7 <br /> Time in: O : L O Time Out: i ~:J3 O Page.,Lof <br /> EHD 16-24 (2n°pg) 4/3/13 7 FOOD PROGRAM OIR CONTINUATION <br />