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Qul" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> •'. - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s1gov.oW/ehd ► <br /> Lr�oR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 71h dA 113W-I Date: 7177 Ttz <br /> Address: city: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: / T <br /> V13180 Posted 0 Yes 0 Nermit Posted ❑Yes I Re-Inspection on or After: <br /> y yI <br /> IOWA <br /> a.v.i.:.ti<. :<.. .e.,..•............... <br /> l ^ <br /> �. G+ <br /> "vwC e <br /> NA M <br /> 0 a_-M <br /> Qit <br /> 'f" <br /> 101 <br /> Name: Hand Sink: of Chlorine: ppm Heat: F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm.: ppm Other: of <br /> Received Sy .i <br /> EH Specialist: Phone: (' <br /> Time in: Time Out: ` J Page'Zof <br /> EHD 16-24 (2^d pg) 413113 - - FOOD PROGRAM 01R CONTINUATION <br />