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a�IN SAN JOAQUIN COUNT M <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www,sigov.org/�EEthd <br /> 4;1FORlti . I <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I Date: 1 <br /> rAddress: MR <br /> City: Zip Code: S <br /> Ownertoperator: !/ Telephone: <br /> Program Element: O�p;bgram Record: ®g Inspection Type: ,'# �J <br /> B180 Posted ❑Yes ❑ Kermit Posted ❑Yes 0 t Re-Inspection on or After: <br /> w � n <br /> I. <br /> n li <br /> e �r + <br /> pw --^ <br /> e S2 he-1 <br /> 41(A -44031 <br /> Lk <br /> n <br /> t <br />( <br /> I <br /> i <br /> I <br /> � 3 <br /> �Vet <br /> acct - fiti3raf <br /> Ik Name. Hand Sink. -F Chlorine ppm Heat: -F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm ther: 'F <br /> Received By I Title: ' <br /> EH Specialist: J Phone: <br /> ime in: Time Out: l' Page of <br /> FHD 16-24 (2nd pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />