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SAN JOAQUIN COl -Y <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> ___-_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �4.. <br /> IF .�;�P Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> � OR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> flWn <br /> S" <br /> Wetton 77 <br /> w , <br /> Name:i Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm ther: of <br /> Received By/Title: <br /> EH Specialist: ` Phone: <br /> Time in: Time Out: TJ �TPlaggee�rf <br /> EHD 16-24 (2-P9) 413113 FOOD PROGRAM OIR CONTINUATION <br />