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aP`A4'n• SAN JOAQUIN COUN" <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.sFQov.org/ehd <br /> 9�iFO PH <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: U — Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: //?Q Program Record: Inspection Type: L <br /> V " <br /> 8180 Posted A; y"s No Permit Posted es No Re-Inspection on or After: <br /> 1�? <br /> n of Gv� �f l <br /> csf <br /> C <br /> ll '/ <br /> Iz- <br /> Food Safety Certification Facility Hot Water Temperature <br /> ___ _. __. <br /> Name: �f Hand Sink: `F Chlorine: ppmt: 'F <br /> Exp.Date: r]/ Warewashing Sink:�a� of Oust.Amm.: PPM ther: of <br /> I <br /> eceived By/Title:H Specialist: Phone: <br /> ime in: O . ) Time Out: �/ • Page of <br /> EHD 16-24 (20°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />