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SAN JOAQUIN COUNN' <br /> ?.+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sagov.or_ /g ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� Date: <br /> Address: <br /> City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: /G Program Record: �� a� �� inspection Type: <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection an or After <br /> � _�.�,�� ��'c��� ���� ���•'.��i�� ���__ /��i��r� ,tea [�/�iz� <br /> itgrrdwcmdoa Terri: . - f tion errr #pre <br /> Food�►Certifice#lots Hot#Ala#er;T�etttpertwte:. Waretivashitag <br /> Name: Hand Sink: `FChlorine: Ppm Heat: =F <br /> Exp.Date: Warewashing Sink: `F uat.Amm.: Ppm Cher: 'F <br /> Received By/Title: <br /> r <br /> EH Specialis Phon�.��� <br /> Time in: - -_ Time Out- Page of <br /> EHD 16-24 (2n°p9) 413113 FOOD PROGRAM OftfONTINUATION <br />