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SAN JOAQUIN COUNTY <br /> j ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.si9ov.orcLlehd_ <br /> t+floe <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r O G Date: <br /> Address: 7 O h City: r y� Zip Code: <br /> caner/Operator: 1 C Telephone: <br /> h <br /> Program Element: Program Record: Inspection Type: S . 4c v;4 : 4 <br /> IS 8180 Posted 0 Yes 0 Permit Posted 0 Yes 0 I Re-Inspection on or After: , <br /> W; � hGu v Ay_ r /ri ; <br /> Kiq <br /> G� h PejrmrJ Ccn I �C34 /I} r t; be 5 a ; eco <br /> �O i <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: `F <br /> Exp.Date: arewashing Sink: "F uat.Amm.: ppm ther: 'F <br /> Received By!Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: j G Page of <br /> FHD 16-24 (21 pg) 413113 F000 PROGRAM OR CONTIN ATION <br /> S <br />