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SAN JOAQUIN CC 'TY <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s'gov.org/ehd <br /> �/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: CJ Date: I� �J <br /> Address: � City: Zip Code: If IF <br /> Owner/Operator: �� � � Telephone: <br /> Program Element:! /r Program Record: ; Inspection Type: �Q <br /> B180 Posted ( ��[[ Yes ❑ Rermit Posted es ❑ I Re-Inspection on or After: <br /> IS... �... W M <br /> W M OV a07AA� <br /> 3 il Ju 414 <br /> �luL I cel- A <br /> '�l <br /> ��wvG - 17 S rti <br /> !M <br /> le7-f- <br /> -Pill <br /> Item t Location Temperature <br /> D 1v"2 LOP 1ALInAt= <br /> /VV"I- <br /> �; <br /> _ z <br /> Name: ,/ Nand Sink:OR <br /> of Chlorine: ppm Heat: of <br /> Exp.Date: I(i y� arewashing Sink: of Quat.Amm.: ppm Ot 7 <br /> 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: � Pag o <br /> EHD 16-24 (2n°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />