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SAN JOAQUIN COUP. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.siaov.org/ehd <br /> �1sdA�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� Gr Date: <br /> Address: /plL City: Zip Code: <br /> wner/Operator: Telephone: <br /> Program Element: 6 Program Record: / Inspection Type: 120 <br /> o / <br /> B18O Posted es ❑ No lm- <br /> Permit Posted - es No Re-Inspection on or After: iC0 Y7 <br /> M I00 - 6tH A l <br /> l!! <br /> 4y/e- a gal B t <br /> i/! AAV--k--S - <br /> tlonrAegl4gr teeze/ /�ca <br /> loyr s CZte=04 A-5 he <br /> 1-46m,4s - - - <br /> - L Oo <br /> `'F r ii 67 <br /> walk, <br /> -n Ca 3 3 F wet h Fitz eT -�� <br /> 00 �s <br /> Food ear aoe <br /> f. rau/cr O $2/ VO F <br /> ezcrui2rs Coo r 38`f f D' <br /> ame:A and Sink: 'F lorine: ppm eat: OF <br /> xp.Date: D 3 arewashing Sink: 'F uat.Amm.: ppm ther: OF <br /> eceived By/Title: <br /> EH Specialist: Phone: <br /> ime in: Time Out: Page <br /> EHE)1624 (2w pg) 4912 FOOD PROGRAM OIR CONTINUATION <br />