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a�+H .i SAN JOAQUIN COUNT) <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.oF lehd <br /> 4�iFdRia , <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: fo <br /> Name of Facility. UAI <br /> ddress: ! f/-` City: ` Zip Code: <br /> V IL Telephone: <br /> Owner/operator: <br /> Inspection Type: <br /> Program Element: Z{ C Pogram Record: L' <br /> 8184 Posted Yes ❑ Permit Posted ii n Yes ❑I Re-Inspection on or After: <br /> ME- <br /> , .... <br /> &C A0 10r�2J2 <br /> �G Y <br /> �S r <br /> n <br /> 4 <br /> Wa W— in J cl Z.4 z <br /> i 5 "vtir cf��^ <br /> 2r4 ° Cor�f� e <br /> WoonA <br /> Cf— D C si.. [ r� <br /> ------W a_ - - -= -_ ---'U�J -ice _. w'--'---- - <br /> R', <br /> Name: + Hand Sink: O 'F Chlorine. m Heat. `F <br /> t 4 <br /> Exp.Date: r� /�► arewashing Sink: f ` 'F Quat.Amm.: rLpO ppm Cher: aF <br /> Received By!Title: f 'fes <br /> E EH Specialist: Phone: rY O — <br /> i e� <br /> Time in: Time Out: Pag of <br /> EHD 16-24 (2ntl pg) 41303 FOOD PROGRAM OIR CONTINUATION <br /> F <br />