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SAN JOAQUIN COUNTY%./ <br /> q :{ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-5232 <br /> .4, = a` Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s ov.ar lehd <br /> {IFp¢ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: --;t(.2(/1 <br /> Fame of Facility: �-� - <br /> City: S Zip Code: �JZG <br /> ss: 113(00 N • 1N I W U���� Telephone: <br /> rlOperator: ��� <br /> g +��U� 1q ufS Inspection Type: <br /> Pro ram Element: 1��(� Program Record: Y 1 e�-fi <br /> B180 Posted 1 ❑Yes D Rermit Posted ❑Yes ❑ I Re-inspection on or After: <br /> 1 M1 i" "BOG VC Grp �ie.4i1G� 5 � CJS JC�dEA T -CAt t. <br /> i ,> hon n C tf__ cif ll-te <br /> Le c111 %�MS vv iTw,n 1fi Cr Q • <br /> VA c "I-C f <br /> FcsndSal€ ilp ; _ . ?s ..: Wareww'bing <br /> Name: Hand Sink: 'F Chlorine: jPmHeat: 'F <br /> Exp.Date: arewashing Sink: of uat.Amm.: ther: 'F <br /> Received By!Title: <br /> EH Specialist: Phone: <br /> Time in: , Z> Time Out: ! • Page ofr <br /> EHD 16-24 (2° pg) 413113 l FOOD PROGRAM OIR CONTINUATION <br />