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°PAvrH ° SAN JOAQUIN COW <br /> ENVIRONMENTAL HEALTH DEARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> 4CIFOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> ENameolFacility: Date:Zip Code: <br /> Telephone: <br /> t: / rogram Record: Inspection Type: <br /> Yes/ No Permit Posted Yes No Re-Inspection on or After: <br /> e-7,yL! ..E <br /> 9/ l31- <br /> I f <br /> �6 <br /> 10 <br /> Temperature' <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name (Hand Sink: -F (Chlorine: ppm Heat -F <br /> Exp.Date Warewashing Sink: 'F Ouat. Amm.: ppm Other: -F <br /> Received By/ itle: <br /> EH Speei lat <br /> : Phone: <br /> ITime in: 7P. �C Time Out: /O, r1� Page of <br /> EHD 16-24 (2-pg) 4/3'13 ✓ �f FOOD PROGRAM OR CONTINUATION <br />