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SAN JOAQUIN COON" _ <br /> - ENVIRONMENTAL HEALTH DEPARTMENT <br /> - 1 868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> � •.,.. ,,.�;;P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ©ate: <br /> Address: City: Zip Code: <br /> Owner/Operator: — Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> S8180 Posted Yes Na Permit Pasted Yes No Re-Inspection an or After: � <br /> 4BSR ►T�1� � 1Q � E -TIircAN Q <br /> ' <br /> / <br /> ---..----._._. �✓� /�•Y.L�>l G'r�/ �'ir�rr�/� C�a+�Cf�ryr T�'Y/•�l!f��'�rr�rf....-.- ...- �.... <br /> _����r..�►� ci ���.�'�f�—.fin_._-%�_a�.���_�z_�r1 <br /> r <br /> T �iC <br /> .. 'r�.� •:�teI7E��.0Cafl0F1. _� .-tz:..............�...�a...^-.w� 3t��t170•'�•�1I,� <br /> w��-��.. _ �'Q�i`��� � �#r�t�bn ;.m ,� �^ �CE��i��'��tC'F�..;,em ..[$tif[B°'�t .?°mem•. -g� s� £YV�St11Iig' _ „,�e �`�.-�'i�. <br /> Name: Hand Sink: °F Chlorine: m PM�Heat. `F i <br /> Exp.Hate: Warewashing Sink: -F Quat.Amm.: PPM Other: 9F <br /> Received By!Ti <br /> rEH Speci Est: Phone: <br /> ime in: Time Out: Pag f <br /> EHE 16-24 (2-pg) 4013 FOOD PROGRAM OIR CONTINUATION �k <br /> I! <br /> l <br />