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C4& <br /> SAN JOAQUIN COUN'_�ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209) 464-0138 Web:WWw siooy.orD/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> [ddress: <br /> e of Facility: G PI Date: -;3 f <br /> l City: ,y- Zip Code: <br /> � !��er/Operator: ( Telephone: <br /> ram Element: ttProgram Record:oo Poe .Yes No Permit Posted Y es ❑ No Re-Inspection on or After: <br /> r� h <br /> fill <br /> at n I vp- D Co <br /> /,IUv-kv <br /> Cz Al <br /> �e vYz�vtC u ✓ <br /> � ✓i f � R vl Vi OZZQ( �l� <br /> Gh I ✓ i <br /> 7j� 1 f Rh wa I I <br /> 77 !My Hot Water Temp artTd'h <br /> ': ashing ........: •., ' <br /> —_ __ _ .__ <br /> Name (Hand Sink: i onne: ppm (Heat: F <br /> Exp.Date: Warewashing Sink: ) F t.An Ppm Other: -F <br /> Received By/Till <br /> EH Specialist: Phone' /� <br /> "s- <br /> ime in: U r - Time Out: (1� PageLbf <br /> EHD 1624 (2^Pp) 41W FOOD PROGRAM OIR CONTINUATION <br />