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pp.AN!N. <br /> '%.� SAN JOAQUIN COUNT <br /> :< ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> p4�; aaN a Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigoy-org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: / <br /> Address: 15 Date: 0 _ 6 <br /> City: Zip Code: <br /> wner/Operator: <br /> Telephone: <br /> Program Element: Program Record: <br /> Inspection Type: <br /> 8180 Posted YYes No Permit Posted es " NO/� Re-Inspection on or After: <br /> VATION C <br /> D (WV <br /> S-¢t dao <br /> is <br /> em/Locati <br /> 0 <br /> at <br /> Name: Mf and Sink: gr 'F hlorine: PPM r <br /> eat: 'F <br /> Exp.Date: O arewashing Sink: ��' F uat.Amm.: PPm ther: eF <br /> Received By/Title: r '�✓, <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2n°pg) 1112108 FOOD PROGRAM OIR CONTINUATION <br />