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A4u�N SAN JOAQUIN COUNI,,4 <br /> �o. .coc <br /> a <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> - _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4<<FaRa• <br /> Telephone; (209) 468-3420 Fax:(209)464-0138 Web:—www-s1gqv.orq1ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> pddress: <br /> Facility: "*—e4 Date: �� <br /> City: Zip Code:perator: a Telephone:Element: Program Record: D a r� Inspection Type: vo 1 u4, <br /> 8180 Posted ❑Yes ❑ permit Posted ❑Yes ❑i Re-Inspection on or After: <br /> k i <br /> 19 mwv�"xo nA <br /> i <br /> Ct Lfttts _ 3" peta rare <br /> Fond�% lety Cerllfivx6oh tter ems ti iii <br /> [N:;,,;;=: Hand Sink: 'FChlorine: ppm Heat: °F <br /> Exp.Date: ar shin in 'F uat.Amm.: ppm thee: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: �— <br /> Time in: t r Time Out: 4 ] Page/of <br /> EH 16-24 (2^"pg) 4013 l �J' FOOD PROGRAM OIR CONTINUATION <br />