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bea�!IH. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . ��... �;;w. Telephone:(209) 468-3420 Fax:{209) 464-0138 Web:www.sl[iov.org/ehd <br /> cii p <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �s 1/U Date: <br /> Address: T07—V— 7X7 2�VA , City: Zip Code: <br /> caner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> L A. <br /> r91-80 <br /> Posted Yes No Permit Posted Yes No Re-Inspection on or After: !1 <br /> GL mit w <br /> -r- <br /> Temporatu <br /> Name: Hand Sink: of Chlorine: ppm Heat: -F <br /> Exp.Date: arewashing Sink: aF Quat.Amm.: ppm Other: of <br /> Received By/Titl <br /> EH Specialist: Phone: J p <br /> ime in: Time Out: �` Pag of <br /> END 16-24 (2n°pg) 413113 FOOD PROGRAM OR CONTINUATION <br />