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SAN JOAQUIN COUN <br /> k��•e° I <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868.East Hazelton Avenue, Stockton, CA 96205-6232 E <br /> Telephone:(209) 468-3420 Fax. (209) 464-0138 Web:www.sogov.orglehd , <br /> i94-6 j <br /> i <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> E � <br /> Name of Facility: / Date: <br /> Address: City: Zip Code: I <br /> E , <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: , <br /> y w.. . SER1TItil! 71R1CTl�I' A =�tS <br /> I <br /> loo <br /> E <br /> L: <br /> k <br /> I <br /> .otem%E[acaft!! e .'7emperatuisg mem,taca�e}1rt7emi3e18tfG�_ <br /> 111 <br /> i <br /> yS <br /> 1 <br /> FrJDd'.Sety,Ce �Cpr tacrlrtyttnteraaperatlt :. ... YlawA$h�ngr <br /> Name: Hand Sink: of Chlorine. PPM Heat: 'F <br /> Exp.Date: Warewashing Sink: `F Quat.Amm.: PPm Other: 'F <br /> Received By/Titl . <br /> EH Specialist: Phone: <br /> Time in: Time Out: Pag of <br /> i <br /> EHD 16-24 (2^r pg) 413113 FOOD PROGRAM OIR CONTINUATION <br /> Edi <br />