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SAN JOAQUIN COI. "Y <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> W: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s4gov.org/ehd <br /> ��FORl� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: f v'- �� C k Date: 1(3 417 <br /> Address: h r City: L Zip Code: <br /> Owner/Operator: cL Telephone: <br /> Program Element: /7 Program Record: '1� ' ` Inspection Type: Nof k <br /> SB180 Posted Yes i i No (/ Permit Poste Yes No Re-Inspection on or After: <br /> ams <br /> �M <br /> Z rrnd V <br /> I <br /> J777777777777F= <br /> .I f cf - <br /> u -rh <br /> WE. <br /> Name: Hand Sink o F Chlorine: PPM Heat: oF <br /> Exp. Date: l Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: �nA f Phone: <br /> Time in: 1, Time Out: Page?of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />