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SAN JOAQUIN COUN't-f <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 606 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ��FO¢ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 4(055 Date: 7-l <br /> Address: 5­2, 4nj City: 1 �� Zip Code: C, Z <br /> Owner/Operator: . [—U Telephone: 337 _ <br /> ?x,70 <br /> Program Element- Program Record: 0000 -52-3 Z Inspection Type: <br /> SB18O Posted []Yes ❑ No Permit Posted E)Yes u No Re-Inspection on or After:we <br /> �J <br /> e <br /> L.t-e_ . <br /> bea�� L6 alK-LA 12 <br /> do c.J 1 <br /> z� f <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp. Date: Warewashing Sink: of uat.Amro.: ppm [other: of <br /> Received By 1 Title: <br /> EH Specialist:' Phone: 5 ��v <br /> Time in: , I Time Out: 3�b Paged of ' <br /> r <br /> EHD 16-24 (2n°pg) 1112109 FOOD PROGRAM OR CONTINUATION <br />