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SAN JOAQUIN COUNTY <br /> a' ?i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 'rCl F iy'Ai� <br /> a Telephone:(209)468-3420 Fax: (209)464-0138 Web:www sioov orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION DEPORT <br /> Date: <br /> Name of Facility: — <br /> ddress: City: Zip Code: <br /> L� <br /> wnerloperator: — Telephoner <br /> Program Element: 9 Program Record: Inspection Type: <br /> 8180 Posted OV& 0 No Permit Posted es ❑No Re-Inspection on or After: <br /> c2oz 7.k <br /> c � � <br /> _ <br /> a Ste' <br /> Name: /7 Hand Sink: / =F IChlonnw. — pro as : >F <br /> Exp. Date: irvarewashing Slnk� 'F uat.Am _ m her: 'F <br /> Received By I Title: <br /> EH Spe ' Phon <br /> ime In: Time Out: rn Pa�of <br /> EHD 16-24(2i°pg) 413113 FOOD PROGRAM OR CONTINUATION <br />