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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 466-3420 Fax:(209) 464-0138 Web:www.siaov.org/ehd <br /> 4Gl FO�� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: I / <br /> ddress city: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: r <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: / <br /> OBSERVATIONS —WON", ! = v�h •"` � ' � <br /> c <br /> vv ft.v vOlLi <br /> -t., c, �- <br /> 'e <br /> attire <br /> Gk� 7 <br /> ame: and Sink: of hlorine: PPM eat: -F <br /> Exp.Date: arew king Sink: of uat.Amm.: PPM ther: =F <br /> E <br /> By/Title:list: Phone:Time Out: tJL ! Page of <br /> EHD 1624 (2-pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />