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SAN JOAQUIN COUN. <br /> r. c <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> `,iikbar Telephone: (209) 468-3420 Fax.,(209)464-0138 Web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of FaCllity: --C a -T cS Date: _ <br /> J 23_\ <br /> ddress: •�9 � \ City: �r Zip Code: q <br /> caner/Operator: C� <br /> Telephone: 1 3Z_ S0O <br /> Program Element: \blJ` Program Record: -- Inspection Type: r� <br /> B180 Posted - yes a No Permit Posted YYes No Re-Inspection on or After: <br /> TION <br /> ro \ \\ b' <br /> r <br /> t3 <br /> \ v f <br /> AN -Q \f� <br /> 2 e'-2 . <br /> \ Fav o b41,\ �t1 ' r . ( <br /> c e <br /> SZ--;F eSP- - eta _ <br /> Z <br /> \ 36 Fame: Hand Sink: i -F hlorine: ppm eat: 'F <br /> Exp.Date: arewashing Sink: 1Z�• r 'F uat.Amm.: ppm ther: 'F <br /> I <br /> eceived By/Title:57, 1/Yn6���<�_ - <br /> H Specialist: a� r Prhoone: \4 b Q <br /> ime in: Ct , n Time Out: \O• �V2�1 Page - 2 <br /> EHD 1624 (2-pg) 11/2109 V FOOD PROGRAM OR CONrINUA'nON <br />