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OWN, SAN JOAQUIN COUNTY <br /> �-� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> <<FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: a Date: <br /> Address: O y W I son r , I� City: Zip Code: r 2C)W J <br /> Owner/Operator; P p a Telephone: <br /> Program Element: 1 Program Record: r Inspection Type: C <br /> 1 CUa l <br /> SB180 Posted C3 Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> MW <br /> lo 10 hQC !e 4e G ?� ',CCn <br /> t t{ Q5 I(r'En U l.n <br /> i <br /> f 0 V <br /> G1 2 <br /> i <br /> 0 '1 <br /> Lo <br /> 1 7 ii_) 1 4 <br /> Loo # G o4, 13 z � <br /> a <br /> Loo 11 1 '0 C4� ��ez <br /> aarrs. <br /> i <br /> Name: 1 Hand Sink: 'F Chlorine: ppm Heat: 'F <br /> I <br /> Exp.Date: Narewashing Sink: 'F Quat.Amm.: ppm ther: "F <br /> Received By!Title: <br /> EH Specialist: Phone: 4/6 <br /> Time in: Time Out: Page of <br /> EHD 16.24 (2otl pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br />