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SAN JOAQUIN COUNT <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� S Date: 2 �� <br /> Address; <br /> ity: Zip Code: OL <br /> ` S t � •� S� 5 <br /> Owner/Operator: Telephone: <br /> Program Element: \b2 5 ,-L ro ram Record: 5 Z Z S J2- r7 Lp t'� 3 Inspection Type: <br /> Bi SOPosted ❑Yes ❑ Rermit Posted ❑Yes © I Re-Inspection on or After: 2 �2 <br /> , ........___ ..„gym... ,:,,� <br /> f 1L` l <br /> 00 ” t <br /> I <br /> 31 �, <br /> 0 0 <br /> S- <br /> 2 — <br /> 3 1r-1 w Q 2C- -Ld, Y5 `' <br /> jj <br /> C <br /> cs <br /> : ;;: N <br /> C Name: _ 1 Hand Sink: of Chlorine: ppm Heat: of <br /> P, Exp.Date: Warewashing Sink: , Quat.Amm.: ppm Other: of <br /> 5 Received By 1 Title <br /> N EH Specialist: Phone: <br /> fl ime in: ` 1 Time Out: Page f <br /> EHD 16-24 (21 pg) 4013 FOOD PROGRAM ORCONTINUATION <br />