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SAN JOAQUIN COUNT <br /> ' ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: a <br /> '. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 6. : .�� Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.slgov.orq/ehd <br /> 4+�oR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 7 Inspection Type: <br /> B180 Posted Yes - No Permit Posted Yes No Re-Inspection on or After: <br /> �/5-v��.� ��1Cyrri�-r ('I✓�/� /lam orf �C:/ cr�.�4��_G��/i� <br /> a .- <br /> ftert>&ocas <br /> Ftd oaf aHt` t Cpl„ kic!! =-F <br /> Hand Sink: ppmHeat: of <br /> Exp.Date: arewashing Sink: : ppm ther: -F <br /> Received By/Ti <br /> EH Specialis Phone• <br /> !me in: �0-- Time Out:�r i Pa <br /> EHD 16-24 (2^d pg) 413113 �r FOOD PROGRAM OIR CONTINUATION <br />