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SAN JOAQUIN COL' -Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ._ City: <br /> / Date: Al 3 <br /> Address: ),,. .A �, r. City: Zip code: <br /> Owner/Operator:�V l�\ Telephone: S-j_ ' <br /> Program Element: / . 32- Program Record: ® ,Qta IV Inspection Type: rC�,.,,,..L 101 <br /> BI80 Posted" Yes C No Permit Poste Yes ❑ No Re-Inspection on or After: I V n•r/ <br /> GGq oh <br /> 77---- , <br /> S - ; 119 lthit4q frvvi tR <br /> A4 AJ G VKL Ml -G <br /> K ow-cf/v�k, I 71-a" cry < 3 <br /> ltei / 141F Wa <Y — l <br /> cIiYII 7/J'1 �-r h /Zt 3r1� <br /> V1 ( 4, -air <br /> Name: - V� / J Hand Sink: -F hlorine: ppm eat: 'F <br /> xp.Date: �)jY ' Warewashing Sin of rust.Amm.: ppm ther: -F <br /> Received By/Title: «-a <br /> EH Specialist: r Phone: <br /> Time in: Time Out: Page f <br /> EHO 1624 (2n°pg) 4IT13 FOOD PROGRAM OR CONTINUATION <br />