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SAN JOAOUIN COUN <br /> ya ENVIRONMENTAL HEALTH DEPARTMENT <br /> • <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> L%FORD <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I an V1�l Date: I <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: rogram ecord: Inspection Type: <br /> 80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: r <br /> v n <br /> I C, I/ <br /> .Pafbg" <br /> r i <br /> 77 ._.._ .. �, <br /> x h ItelY#r L o€att0 at311etH Item (.bCa ton <br /> T\\` ,a ►5� .= rF,`� t�l a. a' � '!3 '1 WarelAta3shing <br /> Name: Hand Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: Warewashing Sink: 'F Quat.Amm: ppm Other: 'F <br /> Received By/T' / <br /> EH Specialist: Phone: SCo 1 <br /> Time in: c Time Out: Ll� am Pag4_of <br /> EHD 16-24 (211 pg) 4/3/13 1 P Y FOOD PROGRAM OIR CONTINUATION <br />