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SAN JOAQUIN COON' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> :P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> 4ClRO�? <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: Z D <br /> "v <br /> Address: j 'ty; Zip Code: et4 /V <br /> Owner/Operator: Telephone: q 33_7ho <br /> Program Element: Program cord: c/� Inspection Type:. ,t"/ <br /> SB180 Posted es No Permit Posted es No 7 Re-Inspection on or After: <br /> �. =OBS. <br /> - - - _-------------------------------------------------- <br /> C-vvwLl oti,��.�'vw�aooG� <br /> vtnVo-v� <br /> s <br /> Name: 1✓ �- and Sink: - ofhiorine: PPM eat: =F <br /> xp.Date: arewashing in :: Tuat.Amm.: ppm er. - =F <br /> Received By/Title: <br /> EH Specialist: Phone: _ <br /> Time in: 2 Time Out Pagee <br /> END 1424 (2'"pg)4313 J FOOD PROGRAM OR CONTINUATION <br />