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SAN JOAQUIN COUK <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . �... ;a. Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.so-gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: A _ City: Q Zip Code:^ / <br /> Owner/Operator: /v r Telephone: C� <br /> Program Element: Progidm Record: Inspection Type <br /> 8180 Posted ❑Yes LjAkf permit Posted es EI No Re-inspection on or After: <br /> 0BStAT�C119tI �lV�`ATIU <br /> S57 .-, <br /> i <br /> e2' c i <br /> 1 - . <br /> f �0 <br /> 1 <br /> lteft�fLocat�oit �Ted�_ ra#ur '{. �,,errr � ion_ 7 m at'pre <br /> a food Safs Certrficat�a 'W aei <br /> �, m <br /> . : <br /> Name: Hand Sink: � of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: 11_/ of Ouat.Amm.: ppm Other: of <br /> Received By l Title: <br /> I <br />' EH Specialist: Phone: Q� <br /> i <br /> Time in: i .w Time Out: of <br /> Page, <br /> � a <br /> EHD 16-24 {2ntl pg} 413/13 FOOD PROGRAM OIR CONTINUATION <br />