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r <br /> LE 1 <br /> SAN JOAQuEN GvuN <br /> H ENVIRONMENTAL. HEALTH DEPARTMENT <br /> - _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c .. ,,,,.�;;p Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sjgov.oM/ehd d <br /> tri o6 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1-7-1-1 Date: <br /> Address: / City: Zip Code: <br /> OwnerlOperator: / Telephon <br /> Program Element: Program Fie d: �� inspection Typ -1 <br /> 58160 Posted es No Permit Posted Yes No Re-inspection on or Atter: <br /> QBSEVA 1+ISANDR#3ECT VE.�?m515 <br /> _. .» _ »a4^x.�•c_h.�r� � •' «r.:::�.�::kRra.:,e.-. .vx' a�."�-� .i .a. ��.r �..�� <br /> �� 3P k3cx�. 00 <br /> - <br /> .4Y•-�.. <br /> r M __ " .ocatiean- � peYatur . <br /> �. � ,-•-mow= <br /> f F <br /> ��i.r J/SLC L___—•—_-._........ t } <br /> 0l1Na: � Foptl rtrf ttin� cd� aVaeTem <br /> f <br /> me, Hand Sink. Chlorine; � � Meat. 'FExp.Date: arewashing Sink;//� uat.Amm.: ppm Other: T <br /> Received BY/Title: / . r <br /> EH Specialist: Phone: <br /> E is <br /> Time in: Time Out: "'ool� <br /> EHD 1&24 (2,d pg) 413113 �v FOOD PROGRAM W CONTINUATION t <br />