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SAN JOAQUIN COUNTY <br /> W: :. <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 464-0138 Web.www.sigov.org/ehd <br /> C1pOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility_T Irck C C Date: - C Z <br /> Address: City: Zip Code: <br /> OwnerfOperator: Telephone: <br /> Program Element: ro ram Record: t oinspection Type: <br /> B780 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVAT ONS AND S7:= <br /> �2 G - c <br /> k3 C <br /> C IPM <br /> ,r n -�S <br /> �b <br /> i <br /> i <br /> J <br /> tem/Location IIIIIIIIIIILTemperature Item/Location emperature <br /> \ - - <br /> d Safety Certification .adlityWt Water Temperature - ashfng <br /> Name: and Sink: F Chlorine: PPm rther: <br /> t: of <br /> Exp.Date: 'rewashing Sink: of uat.Amm.: ppm of <br /> Received By 1 Titi>':. <br /> EH Specialist: Phone: <br /> EEL 1�Ti-me In: Time Out: Page_of <br /> EHD 16.24 {2' pg) 4.i3:13 FOOD PROGRAM OIR CONTINUATION <br />