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SAN JOAQUIN COUNTY <br /> _ ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> o4`/Foa�`P. Telephone:(209) 468-3420 Fax: (209)464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> ddress: City: Zip Code: <br /> ner/Operator: Telephone: <br /> Program Element: /G r--5- Program Record'. Inspection Type: <br /> B18O Posted O Yes ❑ No Permit Posted O Yes ❑ No Re-Inspection on or After: <br /> 4:—: <br /> � 4,/s c �i 4i• �" <br /> ame: Hand Sink: / .F hlorine: ppm eat: 'F <br /> Exp.Date: arewashing Sink: "F uat.Amm.: PPM her: 'F <br /> Received By/Titl <br /> EH SpecialPhone: <br /> Time in: Time Out: Page of <br /> EHD 16-24(2-pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />