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SAN JOAQUIN COUNT• <br /> ` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> t1rdAN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Eof : — - �p,-.e- Date:'D 2 City: ZipCode: <br /> : Telephone: <br /> nt: 6 Program Record: PM1 Z� Inspection Type:Yes ❑ No Permit Posted OKTes No Re-Inspection on or After: <br /> GTIONS <br /> (3,n58FJ'rf RYfiiuiiw a` •' <br /> i' ><o�4 Grp<5 <br /> i ' <br /> /�'PsAr.,VM 0 <br /> Acean h.Lb <br /> all <br /> Vn <br /> _ o{ � a'I rr r1 s.r, wl' rt)_ k • .sok —d <br /> re <br /> f F r Ade ktAf CaM360',Ieorb/ cG <br /> ofill r r 4 r e f O r <br /> ame: /1 • and Sink: 08 •F hlorine: 151_0 PPM eat' F <br /> xp.Date: _ s arewashing Sink: 1. 'F Met.Amm.: PPM ther: 'F <br /> eceived By/Title: <br /> H Specialist: Phone: <br /> ime In: Q Time Out: 7 t d O M Page of <br /> EHD1E24(2-24 4IW12 r J FOOD PROGRAM OR CONTINUATION <br />