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oPa4!n. SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />�44FeaN`P.. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.ora/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />EHO 16,24 (2° pg) 4013 FOOD PROGRAM OR CONTINUATION <br />�wP <br />ZIPCode <br />.._ <br />For <br />�1.i <br />_ <br />•• b r <br />Inspection T <br />SB180 Posted No Permit Posted <br />'W No <br />Re -Inspection on or After: <br />III <br />MOO <br />SON <br />1wd_. <br />_ d <br />+ <br />lam_ <br />• . •/. - - - <br />.� <br />_ <br />til►_w' � <br />.1�.►� <br />! � � �! <br />■� � <br />��i._ � <br />L . <br />1 I <br />im <br />�y�� <br />J 11 <br />E� I ._G 1�'.TARM <br />MONNOM <br />WONNI <br />FORM <br />ON <br />• ,► s� <br />Food Safety <br />Ica <br />MMONL <br />O <br />Date: <br />Received By/ Titl <br />MON <br />EH Spec! 1111 <br />Time in: <br />EHO 16,24 (2° pg) 4013 FOOD PROGRAM OR CONTINUATION <br />