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SAN JOAQUIN COUNTY <br /> q ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . c = Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sLqov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Th Date: - <br /> Address: L 1 L City: / f hr Zip Code: rf5 C, <br /> 3 <br /> 1 0 <br /> Owner/Operator: Telephone: <br /> Program Element: urogram Record: Inspection Type: <br /> IS 6180 Posted D Yes 0 Permit Posted ©Yes G 1 Re-inspection on or After: <br /> r e r YVIi ►1N ��s <br /> bF r ..SCra r e ��a 4 b 6 0 6"b e e 0 Y e Co <br /> Gr S5 n'1 r- CJ; rt 0l on1 V I ) n (JorM ��►' d <br /> 111 (4 #P -Tr a NJ W hVrc G1Mh(Ar4fr5 0r0 GSSe -r-) h) 't <br /> Ora very n <br /> Gn It Sa �r ._ lUt,✓ d-u, n <br /> G Ke n1 - G OI/r P <br /> or C <br /> y �0-M C,rfCw — u Ire xn 0t/P Ce <br /> -.- - - <br /> t ; Cetii ? ►i` t T0m <br /> i <br /> Foiik ►tt, i f1Vsterti 3: ` rettra <br /> Name: Hand Sink: ofChlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm Other: of <br /> Received By!Title: <br /> EH Specialist: <br /> Time in: Time Out: '7 Page of <br /> EHD 16-24 {2'l pg} 4013 FOOD PROGRAM OIR CONTINUATION <br />