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SAN JOAQUIN COL,„oiY <br /> p. ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s' ov.or /ehd <br /> �IFpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r U Date: <br /> ,� ` <br /> Address: City: C Zip Code: <br /> Q J <br /> Owner/Operator: Telephone: <br /> Program Element: a.q Program Record: O oZ a Inspection Type: a4; �r <br /> SB180 Posted Ye No Permit Posted es No Re-Inspection on or After: T7 <br /> t 1 kTK3N 111 C�,F �� JVE ATIQNS, <br /> iter-dLotittlonTerkapera3ur;r i' tet3B/Location Ten3perature <br /> t _ ►i (0) _ 39 <br /> FD !2!!!: C0djfj0SWh 11 t Hot WOW Tp areW—a"washing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: F <br /> Ex D e: arewashing Sink: <br /> oF uat. Amm.: ppm Other: of <br /> p�fe ! tle: / <br /> EH Specialist:�fv� �1 sy I_ {_ f_ Phone: ! <br /> time in: I Time Out: .���/� Page of Z <br /> FHD 16-24 (2.1d pg) 4!3113 V FOOD PROGRAM OR CONTINUATION <br />