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awry SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95265-623 <br /> Telephone: (2D9) 468-3420 Fax: (209} <br /> 464-0138 Web:www _ ov-o�1_ rg�ehd <br /> o�Ci k o Rai , <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: City. Zip Code: 3 <br /> ddress: J(� �Q Telephone: L�— <br /> Owner/Operator: L; Inspection Type: <br /> Program Element: f_ a 6 Program Record: A <br /> f� " Yes 0 l Re-Inspection an or After: <br /> B180 Posted Yes d Kermit Posted <br /> F <br /> i <br /> „g Ci <br /> i C 1-z W. <br /> O - )21 LL - <br /> 41> <br /> ac,`r eo o �+- <br /> -e q,- rr) int L vv--'� <br /> y,e wi,oy-e-A ' Z-.e o La csz b 3 o c a�S s e SYtcl <br /> }1OLCA, L.x <br /> x <br /> i <br /> d-00 r I r%4 e- C 12-) e.�OpF iJCO- -TrL4 e L Cf <br /> Li c1 rv4 vv-e r5 N,"F 12 4 0c)r Tru 3 IoF &rckk, <br /> Pr o d,u wa�i-K:tr► o�' l ` r-, <br /> +ot]rICi� 3 <br /> rawer-5 15;L - r� <br /> r TZ'r <br /> y 1�-F <br /> i,._]lJ t rme,� _ -------- -----�5��- <br /> dF S p <br /> 15 ° 14 -j q <br /> .. �catrm . . . tltsttt° m `- <br /> _..,.. <br /> NamHand Sink: o Chilorine: Heat: o <br /> omR- 1A/ ear F ppm (�O F <br /> Exp.Date: Warewashing Sink: 1 of Ouat.Amm.: ppm Other: of <br /> Received By I Title: <br /> EH Specialist: I !_ Phone: <br /> k3•C.rY ��{.. L r <br /> Time in: Time Out: I { :�O Page�.of� <br /> f { . <br /> EHD 16-24 (2ntl pg) 413113 FOOD PROCRAM OR CONTINUATION <br />