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SAN JOAQUIN COUN` <br /> wi <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> '1ciEd"a� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: _GI_ <br /> ddress: \ 2 n I� City: MC <br /> Zip Code: <br /> Omer/Operator: 1 v ` Telephone: <br /> Program Element: `I,YJ_ 2 m ograRecord: (S �� Inspection Type: _ <br /> \ <br /> 8180 Posted F Yes C Rermit Posted C Yes F1 I Re-Inspection on or After: <br /> ` n <br /> Vl <br /> w r <br /> CA ac� <br /> f r2 s <br /> n <br /> 2 <br /> e e <br /> tem/Location ern <br /> Food Safety Certification Facility Hot Water!"'F <br /> ame: _ Hand Sink: -- rlorine: PPM Heat: -F <br /> xp.Date: arewashing Sink: "F uat.Amm.: PPM ther: "F <br /> Ieceived By/Title: 1 <br /> HSpecialist: - Phone: <br /> me In: Time Out: , Page f <br /> EHD 1624(2^pg) 4/3/13 FOOD PROGRAM OIR CONT UATION <br />