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SAN JOAQUIN COUN`T/Y <br /> .y{ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ;P Telephone: (209)468-3420 Fax: (209)464-0138 Web_www.sigov.org/ehd <br /> q 51i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: " J-0-A Date: Z� <br /> Address: City: L, ✓1 Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted s ❑ Permit Posted es C I Re-Inspection on or After: <br /> OB <br /> AM <br /> r( 1F <br /> V V ~ s ^ <br /> 11100( J , <br /> [ w <br /> Qj <br /> rr <br /> nk <br /> IF t:d L on T�rApelrat <br /> P e1'.aiF r; r i ea - Fahr i vtaa r i iiarev► Thing <br /> Name: Hand Sink: `F;,atriA"..hlone: ppm Heat: "F <br /> Exp.Date: arewashing Sink- 'F . ppm Other: "F <br /> zlh <br /> Received By 1 Title" <br /> EH Specialist: Phone: /� _0 ;7Z <br /> ime in: Time Out: `( Page of <br /> FOOD PROGRAM OIR CONTINUATION <br /> EHD 16-24 (2oO pg) 413113 <br />