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SAN JOAQUIN COUK i <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> f{�/Fops? Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 77 7 Date: <br /> Address: C A City: Zip Code: <br /> Owner/Operator: e. Y Telephone: <br /> Program Element: //a Program Record: /(' / Inspection Type: <br /> B180 Posted Yes 6No Permit Posted Yes No Re-Inspection on or After: <br /> l <br /> of Water Temperature <br /> rns: /^ and Sink: / `F Chlorine: ppm eat: OF <br /> Exp.Date: J/6 C O�/ arewashing Sink: 6 of Oust.Amm.�J- ppm ther: e6- <br /> EScialist: <br /> itle: / .6 <br /> NA <br /> hone:�,• Time Out: 07 Pag of <br /> EHD 16-24 (2^pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />