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`, SAN JOAQUIN COU+.fY <br /> % ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4 �;4 Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> �rsd1A <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Eddress: <br /> : U. S ' <br /> S 0 V Ci V: / n + !w Zip Code: 9333 <br /> : Telephone: <br /> nt: Program flecortl: Inspection Type: CC Yes No Permit Posted Yes No Re-Inspection on or After: <br /> S V, s ; � �. U r'5S { rP c ✓a1 <br /> r/ occ/ e <br /> 100 -i� <br /> � SoG Wc� tri �. Saa !�i <br /> l Jnr G reC10C/ 40 <br /> jaerature <br /> ame: and Sink: -F F- <br /> ppm °F <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm ther: .P <br /> Received By/Title: ( � <br /> O /C t <br /> EH Specialist: - hone: <br /> ime in: Time Out: Page of <br /> 2 <br /> EHD 16-24 (2^ pg) 4r 13 FOOD PROGRAM OIR CONTINUATION <br />