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SAN JOAQUIN COUNTY <br /> ,3 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s ov.ol /ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date:' <br /> Address: City: Zip Code <br /> Owner/Operator: Telephone: <br /> Program Element: P gram Record: O P 3 —7 Inspection Type:'h <br /> S8180 Posted Yes No Permit Posted Yes No 1 Re-Inspection on or After: I^ i <br /> I , <br /> bb <br /> k1 v Pi & Pm . �7 ,a <br /> C'AX G r 6J <br /> ark �d z_ 0 <br /> ,�y Pj- <br /> X19, rte ak_'a wA dAt- <br /> M/4 <br /> 325- 3 S'e f ' <br /> k <br /> a <br /> -t- Y <br /> tivvL3 0( <br /> �.. _ <br /> ... i... 3 *iaperatraria. <br /> m 36 <br /> t <br /> k <br /> . .... <br /> Fsf;ak! <br /> WgWG <br /> lz @ <br /> ..n <br /> Name: Hand Sink. of Chlorine: ppm Heat: of <br /> } <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other:. , of <br /> Received By/Title; <br /> EH Specialist: Phone: <br /> 1 <br /> ime in: -, Time Out: Page o <br /> FHD 16-24 (2-pg 413113 FOOD PROGRAM OIR CONTINUATION <br />