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R 4S!!ry <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c4.,, . . ,.yP• Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> Ger da`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 7=7 77 77 Date: r 7/7 <br /> Address: -7-2— .(jV✓1 WWL City: Zip Code: <br /> Owner/Operator: ! /1 , n Telephone: <br /> Program Element: LIP D wl Program Record: Inspection Type: <br /> 8780 Posted []Yes 0 Permit Posted Dyes 0 I Re-Inspection on or After: <br /> bCav <br /> -en .Pet l.i (tea <br /> ame: and Sink: 'F r <br /> hlorine: ppm eat: "F <br /> Exp.Date: rew hing Sink: 'F uat.Amm.: ppm her: -F <br /> ESpeciallst: <br /> : Phone:Time out: C41JJ Page <br /> EHD 16-24(2^pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />