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SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: "J Date: & <br /> Address: ii /1 City: Zip Code: <br /> Owner/Operator: ��/ �/� Telephone: - <br /> Program Element: /, y,`"'!�� Program Record: h / `7�/� Inspection Type- <br /> (17S49 <br /> Posted• Yes ❑ No + Permit Posted Yes [❑No 0 y Re-Inspection on or After: <br /> n <br /> WEEWE" <br /> 1 i y G vl�l <br /> yf _ �} <br /> 12 Y l k � <br /> r Virtu C fe_. <br /> E <br /> s< <br /> t <br /> —GGI1 �G `r(91A VTJ&72�w <br /> 1 <br /> ✓J�U� <br /> -C f <br /> p ;�� �1 (j Dim.o <br /> kvt a „4- VVM I <br /> fteenoc�tit <br /> wf fW1F <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title. <br /> EH Specialist: Phon . <br /> ime in: Tu Time Out: ,( f,�: Page <br /> 7f <br /> FHD 16-24 (2^d pg) 1112109 V FOOD PROGRAM OIR CONTINUATION <br />