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SAN JOAQUIN COUNTY <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.or /ehd <br /> SIA O(tc� <br /> Name of Facility: <br /> Address: FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> �u j h Q Data: f y <br /> o! U 4City: rc 9 <br /> ri S Zip Code: 3 3 C <br /> OwnerlOpeVrator: <br /> n h YG L Telephone: <br /> Program Element: J� Program Record:,OU 00 !0 7 Inspection Type: <br /> =Posted ❑Yes ❑ Rermit Posted ❑Yes q 1 Re-Inspection on or After: <br /> � C ` <br /> All <br /> t <br /> True <br /> ..... ........ <br /> FbixiV V14" Vtt r +�stlii <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm then: of <br /> Received By 1 Title: <br /> EH Specialist: �r Phone: ? <br /> Time in: Time Out: . U Page of <br /> EH016-24 (21 pg) 413!13 1 F00D PROGRAM OR CONTINl1ATEON <br /> S' <br />