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aRa41n.. SAN JOAQUIN COUNTY <br />zs ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•.o• ._ ; Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.siaov.orq/ehd <br />d[7Aolti' <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />EHD 1624 (2° pg) X13 FOOD PROGRAM OIR CONTINUATION <br />�i <br />,.� <br />AFffff <br />F0 <br />Zip Code: <br />Program <br />Inspection/, <br />No <br />Permit Posted YdS no <br />Re -inspection on or After: <br />NO <br />1111741 <br />AWA <br />Hanf Sink: <br />Date: <br />• - <br />Received By / Title: <br />,� <br />—� – <br />EH Specialist:'rte, <br />I <br />Fr I <br />Time Out: <br />ilk, <br />Page 017— <br />EHD 1624 (2° pg) X13 FOOD PROGRAM OIR CONTINUATION <br />