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SAN JOAQUIN CiOUN-,*' <br /> z, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web.www.s gov.org/ehd <br /> �rr:os <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> FNarrie Facility: t �S Date:: City: \ Zip Code: Q33perator: Telephone: <br /> rogram Element: z� Program Record: Inspection Type: <br /> 20 <br /> LB180 Posted 0 Yes ❑ Rermit Posted ❑Yes ❑ I Re-Inspection on or After:APTIOW <br /> 3 1 c <br /> n�A <br /> e - <br /> C - - <br /> c A ' <br /> b � _ <br /> +M F-cs`cSZ� <br /> i `I-V -C�L��1? ( �� Z�2�_ \. �t 9 pp /� �l?.S L-1 9L-� f',\ ��s'_ _. <br /> C\ -�1 h L-• <br /> T <br /> i <br /> F ty 1#r tio> F�°�;ws T tp ? elw t . <br /> Name: Hand Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: arewash' Sink: "F Quat.Amm.: ppm Other: 'F <br /> Received By!Title: <br /> EH Specialist: _ Phone: a�-� <br /> _ `'�b -33 <br /> time in. 1�, Time Out: 1 i �-Z `fit— Page of <br /> EHD 16-24 (2^ pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />