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SAN .IOAOUIN COUN ,' <br /> r 1< <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> i{... •,..a Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sigov.org/ehd <br /> uFa«� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ame of Facility: .I- Date: - <br /> ddress: O E V'e city. k C Zip Code: <br /> caner/Operator: r/l a da Telephone: _ _ s. <br /> Program Element: Y'r /_ s Program Record: s -7 Inspection Type: <br /> B18O Posted XYes - No Permit Posted >,Yes ^ No Re-Inspection on or Aker: <br /> / 0 .a R (fes ^ <br /> f lou r `n s id re e <br /> F eootc. 7� {.n l f <br /> pExp.Date: <br /> � and Sink: of hlorine: Ppm eat: of <br /> arewashing Sink: of uat.Amm.: ppm ther: =F <br /> EH <br /> ived By/Title: <br /> pecialist: Phone: <br /> in: Time Out: i�fl M f Page of <br /> EHD 1624 (2-pg) 4/W12 FOOD PROGRAM OIR CONTINUATION <br />