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SAN JOAQUIN COLIN <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ - 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: / Date: <br /> Address: s ! City: Zip Code: <br /> Owner/Operator. !Y 46— <br /> 6ProgProgram <br /> ram Element: 61,3 Progra Record: Inspection Type: p <br /> SB180 Posted [I Yes ❑ No Permit Posted ❑Yes []No Re-Inspection on or After: 'vrKsL� <br /> - ;x:F. . <br /> V0 c.L ' <br /> ahem, � <br /> Name: Hand Sink: OF hlorine: ppm Heat: J'FExp.Da e: S' arewashing Sink: of Quat.Amm.: ppm ther: <br /> Received By/Title: <br /> EH Specialist: Phone: t/ <br /> Time in: 1 Time Out: 7 Pag of j <br /> I d f <br /> EHD 16-24 (2n'pg) 1112/09 FOOD PROGRAM OIR CONTINUATION <br />