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SAN JOAQUIN COUN'I—r <br /> b ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.si ov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: ! <br /> City: Zip Code: <br /> Address: <br /> Owner/Operator: / lephone: C ' c) <br /> Program Element; Program R ord: Inspection Type: - H <br /> B780 Posted es - No Permit Posted yes No Re-Inspection on or Atter: <br /> CORRE ACTIONS <br /> A-4— If 1111004P al <br /> ti. &AI&t CQ14 A" h/ 1/ <br /> 67tij . r , )vYGl _ <br /> 1/ a /1GfIn <br /> - and Sink: / "F f <br /> hlorine: ppmE 'F <br /> p.Dete: arewashing(Sink: 'F rust.Amm.: ppm 'F <br /> Received By Title: <br /> H Speciate • hO <br /> me In: ( Time Out: Pa of <br /> J <br /> EHD 1&24 (2-pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />