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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95245-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:MM.1:10v org/ehd <br /> �1 fi pR �I <br /> I <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> LL Date: <br /> E <br /> of Facility: Se.t Zip Code: �s: �Z rTelephone: q �_�4 '�]lOperator: t / <br /> — 542i S. Inspection Type: <br /> Program Element: Program Record: <br /> ;,Re-Inspection on or After: <br /> B180 Posted ❑Yes © hermit Posted ❑Yes ❑I <br /> h <br /> r\ 5 <br /> EI <br /> 1V C\ <br /> Yl <br /> L9r` <br /> L� G <br /> r 1 <br /> SV <br /> + <br /> I� <br /> JQ <br /> `I• <br /> --t --- --- - --- --...---- ------ -------- ----- - <br /> il <br /> 1RIEty.viRicaliVreec <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By I Title: <O DPs <br /> AS <br /> EH Specialist: — Phone: t <br /> I v r�� <br /> Time in: + Time Out: S 1 u Page` of <br /> EHD 16-24 (god pg) 413113 1 FOOD PRpGRAM pIR CONTINUATION <br /> • i. <br />