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SAN JOAQUIN COUN ' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sagov.org/ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: - �' Date: <br /> I <br /> Address: City:/T!7 Zip Code: <br /> Owner/Operator: / Telephone�c� <br /> Program Element: Proqlfaffi Record: inspection Type- <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> .. <br /> m' Ria' 1I#'it# �I]€' C3FxRCloll <br /> A F; <br /> l` <br /> ip <br /> Ei <br /> G2�- <br /> i <br /> 'I <br /> � f �: <br /> w <br /> 1. " :itetttpeiatureE �tJrl 7err{aera#ue <br /> P <br /> oi3d <br /> ra <br /> �Ceriic.atraatota�tr ttx� ati m War west+ <br /> m m m <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> ?� I <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of Il <br /> Received By/Ti?: 6 Sh1 A -J <br /> 25�1 44 7 <br /> EH Speciali . Phone 1 I <br /> ime in: _� Time Out: ('� Page�o� <br /> END 16-24 (2^r pg) 413113 FOOD PROGRAM OP CONTINUATION i'E <br /> E¢' i <br />