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'RSR coo SAN JOAQUIN COUNTY <br /> ,Z{ ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: FTDate: <br /> Address: wo wt/t City: Zip Code: <br /> Owner/Operator: C Telephone: <br /> Program Element: Program Record: Inspection Type:CG (alb <br /> B180 Posted ❑Yes C Rermit Posted ❑Yes ❑I Re-Inspection on or After: <br /> _K11 A <br /> tv-4 ext <br /> .... :: Temperature <br /> ki�tidirt ', 7°ers .s t fin <br /> Eat�df ? f[catii3i e. atafilty tft.iliYewarewashi <br /> Name: Hand Sink: of Chlorine:ate: ppm Heat: of <br /> Ezp.Darewashing Sink: of uat.Amm.: ppm ther: of <br /> Received By!Tikie: <br /> EH Specialist: Phone: <br /> Time in: Time Out: 1 10 <br /> - Paga� <br /> FOOD PROGRAM 01R CONTINUATION <br /> END 16-24 (21 pg) 413113 <br />