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4� ulK. SAN JOAQUIN COUNTY <br /> r: .2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �'�.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ h <br /> 'rtikd'A`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: t <br /> \? Date: Z <br /> Address: City: S-tbcx—turj Zip Code: <br /> Owner/Operator: 1, Telephone: (0 <br /> Program Element: Prog am Rec d: Inspection Type: <br /> B180 Posted ❑Yes ❑ Rermit Posted ©Yes ❑ I Red nspection on or Atter: <br /> - CU1ME -i Q N Iry CMVN-" <br /> CunSu 1-t-n�� _ <br /> Temperature . <br /> — - I <br /> Ware tsliIng'. <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: `F uat.Amm.: ppm they: "F <br /> Received By 1 Title: <br /> EH Specialist: Phone: ( lr, _ r_ C <br /> _ V . SCJ <br /> Time in: 4 4 Time Out: l 1 Page t <br /> 1tj <br /> 1 <br /> EHD 1624 (2' pg) 45113 FOOD PROGRAM OIR CONTINUATION <br />