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SAN JOAQUIN COUNTY <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-8232 <br /> �� a` •. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Fameof Facility: Arm V iV\ b 3 2 Date:ss: city: Zip Code: <br /> 1 `� l Telephone: <br /> r/Operator: <br /> Program Element: Program Record: tA Inspection Type: <br /> 6180 Posted o Yes C Hermit Posted C Yes C I t Re-Inspection on or After: <br /> - <br /> �t _j ov Q <br /> c _ <br /> �� <br /> CX 11 <br /> kA c_ c_0c,Q n <br /> 1 0-r--e - '�'•_ _ --L — - „�4_5�� L Qac r3,�^ f -c — <br /> u-' . <br /> it:o Ei c !. t-pian Temperature <br /> k A <br /> - -- ,s-a�- VE. ....... ........--.--------- ----- ------------- --------- -- - <br /> �. Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm ther: aF <br /> Received By 1 Title: <br /> EH Specialist: � � Phone: 0:3 — <br /> Time in: _ r Time Out: Page of <br /> EHD 16-24 (2W pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />