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,OWN,�AG SAN JOAQUIN COUN� <br /> p a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> •'�¢itFo �'`� Telephone:(209) 468-3420 Fax:(209}4fi4-0138 Web:www.s' ov.or /ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> r- <br /> Program Element: Pro am Record: / Inspection Type: <br /> 8184 Posted D Ye 6 Permit Postedzl-- es ❑ No Re-Inspection on or After: <br /> zz <br /> /I <br /> o <br /> �, _, . act i��t1�J' t1f ire m , �3lfTerwasl�ira <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: °F <br /> Exp.Date: Narewashing Sink: 'F uat.Amm.: ppm Other: F <br /> Received By 1 Title. <br /> EH Specialist: 7 YZ Phone: <br /> Time in: Time Out: -. -, Pagl!� f <br /> as, <br /> EHD 16-24 (2ntl pg) 4!3113 FOOD PROGRAM OIR CONTINUATION <br /> x <br />