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ot+4u"' SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />600 East Main Street, Stockton, CA 95202-3029 <br />•�..••• ��� • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.org/ehd <br />�pbA <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: `OS PoT2c�$ �2 Date: . / 3-. /0 <br />Address: tv S 1- City: l213L Zip Code: <br />Owner/Operator: Telephone: 8 3 - (o5 -1P3 <br />Program Element: /(r2L( Program Record: /-��Z Inspection Type: &O()477Ae <br />IS 8180 Posted)C:Yes [ No Permit Posted Yes No Re -Inspection on or After: <br />'Qtf$ ACT.K1S <br />Ulupgr�v7t k,�apD� AT -45,q 7F2 A&,+_ P19INT IN 4 tv/frTC_ CQ/*r4-j44_ <br />r rM►� Er���Tz <br />UQ RK. T /�►r rYrF r� rig iT < <br />t��►� �o��� �� �k-,�, >�n ��e JAR kEP,912 70 <br />3c6 Nb NaU r ;?(J <br />&C -4v,91346 <br />y �%Z$/t/Cs¢5 IQNI� /Af.1,s t /J O N R /N 4.j4Lx_1x1 3 -ax- R' 15-C 6 �r <br />/in MC- 6r / -< <br />w4'r<A S u PPS./�'cA 7D .3 or►� //b T ��l %X/iS 5r tiK /ylu-ST $F . <br />//-/oT <br />S �'Y- P% tE.b GU /T/i AZ Ho 77t le /U 17 n , do l2 k6e r- "/E,014 <br />FOY-ti— o.v Th'E ,<,,Tc'yFN ee 4 ou rrRea PF k -&v/1z9- /a <br />7'/r�EKF 15 A 51"A4 6,4P 4ROC-Ou.D 7A/C- sox //U Tri /</-rt74•v <br />Pp P6 lz /-I 614M <br />•,j <br />1ue$o n1k <br />73� <br />�� <br />Tom3t�e <br />toma"N ��Tk"s- <br />KeP'"ilu <br />G it x(N, Y&r- I*k& <br />/ yG <br />3� (4&r-1,Lb <br />�F4Ad.. : ` <br />, ,. � Not wader T.empemuso <br />Warewashinp <br />Name: �JERcv�/�t'R$mgN <br />Hand Sink: I / of <br />arewashing Sink: / 'F <br />Chlorine: ppm <br />Heat: of <br />Exp. Date: c , y <br />J <br />Quat. Amm.: ppm <br />Other: o f <br />Received By ! Title: <br />EH Specialist: Phone: �,% _3 r q 1 <br />Time in:/v pp�� Time Out: ` : d i Page�of 57 Z <br />EHD 16-23 (2°' pg) 07/29/09 FOOD PROGRAM OIR CONTINUATION <br />