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o�qulry C �1 SAN JOAQUIN COUNTY <br /> :a ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6 <br /> 232 <br /> �.. _ Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s ov.or lehd <br /> 4ci F 3•a`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: _ <br /> Name of Facility: <br /> `ry City: ,(�; Zip Code: of 7573 <br /> ddress: , 1 y �,[ v <br /> Telephone: <br /> Ownerloperator: <br /> Inspection Type: <br /> Program Element: 1 23 Program Record: 5 3 S 3 <br /> 18D Posted ❑Yes ❑ Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> B <br /> Ln <br /> sw <br /> r" <br /> I rA,t- <br /> �, Asn. <br /> ti S C " 1 F - <br /> I04 <br /> Name and Sink: ! eFChlorine: ppm Heat: 'F <br /> Exp.Date: are"'hing Sink: 'F Qt.Amm.: ppm they: °F <br /> Received By I Title: ��(/� <br /> EH Specialist: Phone: <br /> �—0 7- — <br /> Time in , , <br /> Time Out: 3 Page f <br /> EHD 16r24 (2"P9) 413113 FOOD PROGRAM OIR CONTINUATION <br />