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4 ' SAN JOAQUIN COUNTY <br /> �°rte•�.o� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> f Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s o�.Or lehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: Zip Code: <br /> City: Lam` j� <br /> ddress: <br /> Telephone: <br /> ner[Operator: r `� <br /> 7-i ] <br /> Pro ram Record: Inspection Type: <br /> Program Element: f g <br /> B180 Posted Yes D No Permit Posted Yes No <br /> Re-inspection on or After: <br /> Al+I{D CRRE 'TNE AST#ON$ <br /> �- r- _ ► <br /> PA <br /> a44 11 <br /> - = <br /> v -wvkI <br /> >. "F <br /> .YAM I wCatfiort T� 1-lrocaHoe Teiesperaturo <br /> Food SaNft.Cs _ on F=111y Hot Water Tempwalm Warawashing <br /> Name: ( Hand Sink: -'F Chlorine: Will Heat: -F <br /> Exp.Dat r, ' arewashing Sink: of uat.Amm.: ppm they: 'F <br /> Received By/Title: eel <br /> Specialist: Phone: <br /> - — - - -- Page of <br /> ime in: - - Time Out: <br /> FOOD PROGRAM OIR CONTINUATION <br /> EHD 16-23 (2nd pg( 07129109 <br />