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�� SAN JOAQUIN COUNIIJ <br /> 'a ENVIRONMENTAL HEALTH DEPARTMENT <br /> - = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.siQov.orq/ehd ) <br /> C�p pRa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT E <br /> Name of Facility: �� ti Date: <br /> ddress: 35 -2m>- <br /> City: <br /> Zip Code: <br /> Owner]Operator: Telephone: <br /> Program Element: ib2s Program Record: 5Z2 S ZQ lb Inspection Type: <br /> 13180 Posted ©Yes ❑ Permit Posted ❑Yes 0 1 Re-Inspection on or After: MOW <br /> 2 <br /> "Y. A w :..: <br /> ymms <br /> i� <br /> Lin <br /> \ s !21 7q� <br /> k, <br /> 3 <br /> "f' tUte <br /> i <br /> #Jtng .3>•- <br /> Name: Hand Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: warewashing Sink: of Quat.Amm.: ppmOther: of <br /> Received By 1 Title:; <br /> EH Specialist: Phone: <br /> Time in: 1 1 k �b Time Out: �ti 1S ' Page of <br /> EHD 1&24 (2'd pg) 413113 FOOD PROGRAM OR CONTINUATION <br /> i <br />