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SAN JOAQUIN COUNT-e <br /> q ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> °�1�aaY:a <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> EAddress: <br /> : L{ — Y Date: <br /> 1� <br /> �I �.� �. City: tr 4, Zlp Code:r: _ , fTelephone:nt: 'LProgram Record: h- S'Z 1(, Inspection Type:jr .`Yes ❑ No Permit Posted es No Re-Inspection on or After: <br /> ,i/-V <br /> uh �� V <br /> ` h <br /> Y <br /> Name: / tV Hand Sink: eF hlorine: ppm out: of <br /> Exp.Date: V arewashing Sink: _ uat.Amm.: ppm or: of <br /> Received By/Title: <br /> EH Specialist: Phon : <br /> Time in: /0 : ver Time Out: Page of <br /> ^a <br /> EHD 16-24 (2/ Pg) 11/1109 FOOD PROGRAM OIR CONTINUATION <br />