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arg4•�+• SAN JOAQUIN COUNTY <br />a ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•.ca.,.. ._..� Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />�1FOR� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility:Date: <br />Address:• O <br />Zip Code: <br />4� <br />Owner/Operator: <br />Program Element: Program <br />I <br />Record:♦ <br />SB180 Posted Yes No Permit Posted Yes No <br />Re -inspection on or After: <br />.L• w <br />�. fes.• � .',9f/a _ <br />n <br />_ w� �.�., z � ♦! <br />' <br />I <br />i <br />"Wild MY <br />i <br />al I <br />♦� <br />i <br />i <br />• 1 <br />_ <br />��r i / LJ . <br />I_� d _i <br />�i .1 ♦ _ � r <br />rim.'.♦s <br />_ <br />riw i..r r -i,2. <br />r �� r. _ a _ _ ' RIM <br />___ <br />Food 7� <br />Safety CertlflcaftU <br />_01--- <br />Facility Hot Water Temperature <br />low 11111 Warewashing <br />Date: <br />Received By/ Title. <br />Eff-SpecJelist: <br />Phone: <br />�y <br />Time Out: • Page of <br />EHD 1624 (2b pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />