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SAN JOAQUIN COUNTY <br /> q ZK ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a4elFaa ` Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> ddress: City: Zip Code: <br /> wnerloperator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted ❑Yes ❑ No Permit Posted []Yes ❑ No Re-Inspection on or After: <br /> GG�c� <br /> �� cc <br /> 7y �" <br /> CY <br /> x� <br /> Name: Hand Sink: of hlorine: PPM Heat: `F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: PPm they: of <br /> Received By I itle: <br /> EH Spec' list: Phone: <br /> Time in: MM Time Out: - Page of <br /> EHD 1624(2n°pg) 413113 <br /> FOOD PROGRAM OIR CONTINUATION <br />