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SAN JOAQUIN COI,,.iY <br /> ?, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s'oov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: q6e 3 c,! <br /> Program Element: ` Program Record: D 5 2730 Inspection Type: V <br /> 8180 Posted as No Permit Posted Ye No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> d <br /> h <br /> cSC n <br /> k tov <br /> Aio <br /> / Cos <br /> eii'� 614 <br /> » of <br /> f Ce w r� <br /> Name: Pvz —77n. Hand Sink: of tor'ne: Q ppmHeat: of <br /> Exp.Date: r ashing Sink: 0 eF uat.Amm.: ppm Other: of <br /> Received By IT <br /> H Specialist: 7T n <br /> Phone: _ 17p)9 <br /> Time in: 10:16 <br /> l:/5 Time Out: OO Page�pf 2 <br /> EHD1624 (20pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />