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g4'"• SAN JOAQUIN COUNTY <br />t< ENVIRONMENTAL HEALTH DEPARTMENT <br />_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�... P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s'aov.ora/ehd <br />4Ci ao RN <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />EHD 1624 (2w pg) 413'13 FOOD PROGRAM OIR CONTINUATION <br />J <br />WNi - <br />Date: <br />,r__�_/„ /" /tom /./ / <br />Zip Code: <br />'%"mm.T. <br />Inspection Type: <br />U_QT&. /V011, 112111 <br />No Re -inspection on or After: <br />•' :. •s • •r.: • <br />AWL."011111FAW W0.1 - <br />r� <br />r <br />WAR <br />WE <br />W IN <br />77 <br />=f =&. <br />-' <br />Received By I Title: <br />EH SDeclal[St.: <br />ime in: <br />-� Time Out: <br />Page of <br />EHD 1624 (2w pg) 413'13 FOOD PROGRAM OIR CONTINUATION <br />J <br />