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• aP441�•.c SAN.JOAQUIN COUNTY <br />� AG <br />?� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />a4c1FaA�'a Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.ora/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />NFrogram <br />1wner/Opera or- <br />.. <br />Telephone: <br />Element: <br />1L�•Inspection <br />1. <br />Type: 42 ---t S( <br />SB180 Posted Yes <br />Permit Posted as No <br />Re -inspection on or After: <br />Mim 4(9 <br />L% <br />100 <br />anz.i�m <br />mpg <br />�%%ilLti�/ <br />/i✓ <br />' '�/ani <br />C%s�� <br />/ <br />- <br />//�/��� <br />� <br />1, <br />+�r <br />IMMMYName: <br />e�� <br />■� <br />Food Safety CertifIcation <br />Exp. Date: <br />Chlorine, <br />1 <br />Received By/ Title: <br />,EH Specialist: <br />MOR0=i <br />Time Out: <br />Page of -S <br />EHD 16.24 (2^ pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />R <br />