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v SAN JOAQUIN COUN-eY <br /> op0.!!IN. c <br /> ?a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> .._ �. Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.sioov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: ,' 3 7✓"l l <br /> c <br /> Address: ' City: Zip Code: <br /> Owner/Operator: - H'� Telephone: <br /> Program Element: Progra ecord: Inspection Type: <br /> 8780 Poste, Yes 0 No Permit Posted Yes ❑No Re-Inspection on or After: <br /> C J h , k <br /> GQ Q nd u73/Z <br /> Cr V" lvn.r d vVLc C/ <br /> �c� cJ d ✓'a e�-c . O ar <br /> W& l(1 ek- �tvtA 11V,4tj4-v r f✓ <br /> at^, a 4w IDAe l <br /> C a 8 cGtvwti _ 0 <br /> I Lt s cr^ - 6?6 wh _ <br /> a &O'l 41y nV <br /> game: Hand Sink: "F hlorine: PPM Heat: - ' 'F <br /> Exp.Date: NA Narewashing Sink: "F IQ <br /> uat.Amm.: PPM ther: -F <br /> Received By/Title:, <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2b Pg) 1112/09 J FOOD PROGRAM OIR CONTINUATION <br />