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oRau!r! SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.o[g/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: 3 �a <br /> Edd <br /> : S LCi : Zip Code: <br /> : Telephone:nt: Program Record: Inspection TypeYes _- No Permit Posted I Yes r_ No Re-Inspection on or After: / <br /> /1'LLUUI& V <br /> t1h, I,Lea fe dt7K eznfayf py� J <br /> 7� <br /> L '-f4( <br /> in l <br /> '16em1t:owiton Tengeratore: <br /> K <br /> ®rft d_j4p OF <br /> Food Saft CqW111GROM �:'' 'Facift Not Water _ Warewash_ ui- <br /> Name: S Q 6 h(✓ Hand Sink: 'F hlorine: <br /> PP-1Heat <br /> Exp.Dater . o I� Warewashing Sink: 'F Ouat.Amm.: PPM Other: �F <br /> Received By/Title: <br /> EH Specialist: —fir Phone: <br /> ime in: -- -- - Time Out: Pa9 of <br /> EHD16-23 (2nOpg) 07129109 FOOD PROGRAM OR CONTINUATION <br />