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SAN JOAQUIN COUNTY <br />?t ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />• o .., - ;P. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjaov.org/ehd <br />4G/FORS <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />e of Facility: Date: I ` <br />ress:City: Zip Code: <br />�er/Operator. Telephone: <br />lram Element:Program Record: Inspection Type: <br />BO Posted es No Permit Posted LY5P,No Re -Inspection on or After: n <br />OBSERV- ONS AND G <br />ria- -f-j)f)A 1,111inAVOI/ n/J IAQPYv .VVDI <br />Date: <br />Ived By <br />EHD 16-24 (2n°pg) 4/3/13 <br />w <br />Water Temperature I L warewasnmg:• <br />'F Chlorine: ppm Heat: 'F <br />ink: i F Quat. Amm.: Ppm Other: DF <br />(pl �' ov7ty <br />Pag�Jof <br />FOOD PROGRAM OR CONTINUATION <br />FR, <br />Date: <br />Ived By <br />EHD 16-24 (2n°pg) 4/3/13 <br />w <br />Water Temperature I L warewasnmg:• <br />'F Chlorine: ppm Heat: 'F <br />ink: i F Quat. Amm.: Ppm Other: DF <br />(pl �' ov7ty <br />Pag�Jof <br />FOOD PROGRAM OR CONTINUATION <br />