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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-623 <br /> Telephone: (209)468-3420 Fax: (209) 464-0138 Web:www-s o�.or lehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT _2 } <br /> 3 2-3'7 Date: <br /> Name of Facility: 7 City: zip code: <br /> ddress: , (:;r_ —r <br /> i Telephone: <br /> OwnerlOperator: <br /> Inspection Type: <br /> Program Element: Program R ord: 00 <br /> 13160 Posted <br /> ❑Yes ❑ Remit Posted Yes ©E Re-Inspection on or After: <br /> M. <br /> e vv> <br /> m. <br /> >�t <br /> ) <br /> u c_ <br /> � � . <br /> r - -�-1 -'rte 1 ,3,3 _ <br /> re <br /> At <br /> I <br /> L �Zn _ 2 ate,,, , 32.x-= <br /> 38 F <br /> Name: C h\ Hand Sink: aF Chlorine: ppm Heat: o f <br /> Exp.Date: 2 arewashing Sink: of Quat.Amm.: ppm Other: of <br /> 1 Received By I Title: yCIA- <br /> EH Specialist: Phone: <br /> Time in: Time Out: `�7`•` Page of. <br /> l I O 5 C.-- <br /> { EHD 16-24 (2^d pg) 413113 FOOD PROGRAM OIR CONTINUATION <br /> I <br /> E <br />