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SAN JOAQUIN COUNTY <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a4.... ....a Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siaov.oro/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -N CA — - Date: <br /> ddress: City: Zip Code: <br /> wnerlOperator: Telephone: <br /> Program Elem nt: S Program Recortd: 22 ❑Yes 5 Inspection Type: <br /> 8180 Posted ❑Ye5 ❑ hermit Posted ❑1 Re-Inspection on or After: <br /> 3,-,A r nR <br /> 12 <br /> 1 <br /> l3 T <br /> Os <br /> 4\.N <br /> ty b'• 15 <br /> r <br /> IS \\ O C M 20 <br /> P <br /> 3 _ <br /> C <br /> c 4-z <br /> �z VSt 3 3S <br /> vz- <br /> Iz S2 - tv WS <br /> ame: and Sink: "Fhlorine: PPM eat: 'F <br /> xp.Date: arewashing Sink: 'F uat.Amm.: PPM her: •F <br /> Received By I Title: <br /> EH Specialist: Phone: � b _0 33 <br /> ime in: - Time Out: Page of <br /> EHO 16-24(2n°pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />