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aPANIN. c SAN JOAQUIN COUh,,,,, <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c. -- .P. Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.siooy.org/ehd <br /> 9�I FORS` <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Jame of Facility u � /Date: / 7 T <br /> �� .ACL <br /> ddress: l City: u 7� zip Code: <br /> wnerloperator: , L N �0 Telephone: <br /> rogram Element: Program "cord:Uod SIJ a9' Inspection Type:/i/�" y��, ( <br /> B180 Posted es [IPermit Posted es ❑I Re-Inspection on or After: <br /> G Ac <br /> GGf,L ' <br /> ova W v�cu� <br /> Lie YIV <br /> 71 <br /> 23 F <br /> ame: and Sink: 'F hlorine: ppm eat: 'F <br /> xp.Date: / z4vtpl arewashing Sink: I 'F ruat.Amm.: ppm ther: 'F <br /> Eeceivedde: v_ Phone: <br /> - Time Out: Page �f <br /> EHO 1624 (2n°pg) 413113 FOOD PROGRAM OR CONTINUATION <br />