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oP4N1"• c SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />.. P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.s0oov.or4/ehd <br />9CI F00.� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: - <br />- _ Date: <br />�� L - <br />ddress: O / <br />{ City: C, Zip Code: <br />t' <br />wner/Operator: <br />Telephone: <br />Program Element: <br />Program Record: 0 J,6 b 9 q2— 2— Inspection <br />8180 Posted Yes No <br />Permit Posted Yes No Re -Inspection on or After: <br />Z' K/2 <br />EHD 16-24 (2b pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />FAr <br />� , 11VIIIIIIII,• <br />Iifa �Q'Ai <br />� ' 7 <br />rRVIIN <br />WFINWI <br />WOF <br />Item I Location <br />!�*ood Safety Certification <br />Warewashing <br />Name: <br />Hand Sink: <br />Heat: 'F <br />Date: <br />•Q -10I <br />Other: 'F <br />Received By/ Title: <br />d,,t),• <br />`• <br />EH Specialls <br />%� <br />'Phone: <br />Tri m a In:Time <br />I <br />Outt <br />i <br />EHD 16-24 (2b pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />FAr <br />