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lg CGG <br /> SAN JOAQUIN COUN� <br /> 'X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov,oM/eehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: y?,- <br /> Td /� � n n � � City: Zip Code: <br /> Owner/Operator:V (1 , ! � Telephone: <br /> Program Element: l Program Record: ��1 I Inspection Type: <br /> !J <br /> 8180 Posted ❑Yes ❑ Nermit Posted ❑Yes El I Re-Inspection on or Atter: <br /> OMEN <br /> ihtl <br /> yam. <br /> m ~OYI /S d-01 <br /> S1 OP PY) Id <br /> t <br /> (/16 fA C� <br /> WW V�'Wupf <br /> tAg <br /> rA.,. <br /> d-ta a, - <br /> E <br /> r% � <br /> Name: Hand Sink: of Chlorine: ppm Heat: °F <br /> Exp.Date: argwashin Sink: 'F Quat.Amm.: ppm Other: 'F <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> ime in: Time Out: } 7 Page of <br /> 7 <br /> EHD 1&24 (2^"pg) 41303 FOOD PROGRAM 01R CONTINUATION <br />