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SAN JOAQUIN COUN <br /> Zr ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> d4c/Fok�;a Telephone: (209) 468-3420 Fax:(209)464-0138 Web:www.si-gov.org/ehd <br /> FOOD PROGRAM_ OFFICIAL INSPECTION REPORT <br /> Name of Facility: J Date: 4 �Q <br /> Address: VZ bV-Zr&tiv City: Zip Code: <br /> caner/Operat r. ✓ r' Telephone: <br /> Program Element• Program Record: Inspection Type: � C <br /> B180 Posted Ms 0 No Permit Posted ❑Yes []No Re-Inspection on or After: <br /> a CPO <br /> q r Cel /vl <br /> { <br /> - 0 <br /> .-am perature 7 <br /> ✓ P <br /> r Temperature <br /> ame: - - and Sink: 'F Chorine: ppmeat: of <br /> Exp.Date: arewashing Sink: -F Ouat.Amm.: ppm r <br /> ther: -F <br /> Received By/Title: <br /> EH Specialist: t Phone: I _ <br /> ime in: Time Out: l2 r� b Page of <br /> EHD 16-24 (2^pg)4313 FOOD PROGRAM OIR CONTINUATION <br />