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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6262 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sioov.org/ehd <br /> q4/FORS <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> ddress: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: i Inspection Type: <br /> B180 Posted []Yes ❑ Permit Posted ❑Yes ❑ / Re-Inspection on or After: <br /> rn AYP',, <br /> 2 r - S: WI <br /> GUwvt <br /> vt cy �n <br /> e <br /> =Date: <br /> and Sink: `F hlorine: ppmeat: =F arewashing Sin "F uat.Amm.: PPM ther: 'F <br /> Received By/Title: <br /> EF1 Specialist: - Phone: <br /> r <br /> ime in: Time Out: Page of <br /> EHD 1624 (2-pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />