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SAN JOAQUIN COUN <br /> ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .. > Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> ,4�FOP1 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: Date: S 4/2 <br /> ddress: A VO City: Zip Code: <br /> wner/Operator: „ ,_ J= Telephone:41 <br /> /. <br /> Program Element: —Program"Record: O 14/a Inspection Type: lY <br /> 8180 Posted 0 Yes 0 Permit Posted Yes ❑I Re-Inspection on or After: <br /> I <br /> .(1af� K kCot me wvf <br /> .t �t2t <br /> F VPvA <br /> D lu <br /> (I=Ww OA w <br /> n e <br /> G <br /> F <br /> D Oa <br /> Name: GK I 'F hlorine: Ppm <br /> Exp.Date'.. -L FI arewashing Sink:: - 0/_ DF uat.Amm.: ppm her: >F <br /> eceived By/Title. l!� <br /> H Specialist: Phone: <br /> ime in: i Time Out: Page <br /> EHO 1624 (2n°pg) 413113 ' FOOD PROGRAM OIR CONTINUATION <br />