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SAN JOAQUIN COON' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: /0 Date: <br /> Address: Ci Zip Code: dr� <br /> Owner/Operator: / Telephone: �093r <br /> Program Element: Program Record: Inspection Type:AaK <br /> 8180 Posted :,Yes 71 No Permit Posted :Yes -] No Re-Inspection on or After: <br /> 8SER�i'AT1O , ND., 1 £TlllE iC NS <br /> r � / <br /> ttern/Locatio#r Tera1 afore ffem;li.toon Temperature <br /> FUod Safety Certification. F citify tlnt°VI[ate : a peratura Warev�rashin <br /> Name: Hand Sink: ofChlorine: ppm Heat: "F <br /> Exp.Date Warewashing Sink: 'F uat.Amm.: ppm ther: 'F <br /> Received Titl . <br /> EH Special i Phon <br /> !me in: •.r,-Q TimeOut: J O ter--- J Pa ' <br /> 111 D 16 24 (2n°pg) 413+13 FOOD PROGRAM OIR CONTINUATION <br />