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au h SAN JOAQUIN COUt,,� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4i adv P^ Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: r' Date: �t_ <br /> ddress: \ \ p cJ City: 1 _ _ Zip Code: <br /> wnerlOperator. —'— Telephone: \.1 _-�1 1_ <br /> O �Tg V <br /> Program Element: t�Z3 Program Recorcl: 15 2 9$Z Inspection Type: •�r <br /> 8180 Posted Yes ❑ Remit Posted V ❑Yes O Re-Inspection on or After: <br /> RA r�v� ne c I <br /> Pte. amt A-- <br /> ;a,e <br /> Food Safety Ce�� and Sink: 'F hlorine: ppm eat: 'F <br /> 2 r�_ arewashing Sink: 1�� "F uat.Amm.: PPM or: 'F <br /> eceived By I Title: k� <br /> H Specialist: Phone: y b <br /> ime in: \�T ^ CO Time Out: i e Z r� Page of 2 <br /> EHD 16-24 (2n°Pg) 413/13 J•� FOOD PROGRAM OR CONTINUATION <br />