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SAN JOAQUIN COLJ'Y <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sogov.ora/ehd <br /> �IFbR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: vrm� tll•7 Zrx- Date: <br /> Address: t /'� City: D L ' ,[� _� Zip Code: <br /> Owner/Operator: / d� /4 rte' Telephone: <br /> a k <br /> Program Element: [ Program Record/: G 1--71 Inspection Type: 2-11 Vt <br /> B180 Posted []Yes n No Permit Posted ❑Yes []No > / Re-Inspection on or After: <br /> GC( k v-- <br /> KOZ 101M *0 f 011 C-h Dj <br /> e VYU <br /> le Gt+n� ✓ c� i <br /> '✓ 1 tGb —� tiG� --Ivy <br /> ame: Hand Sink: "Fhlorine: PPM eat: "F <br /> Exp.Date: arewashing Sink: 3 ,7 "F tuat.Amm.: PPM ther: of <br /> Received By/Title: <br /> EH Specialist: vw�a..ecti��' Phone: ' <br /> ime in: / Z Time Out: , Page o <br /> EHD 1424 (2^pg) W12 1 FOOD PROGRAM OR CONTINUATION <br />