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SAN .JOAQUIN COUNTY <br /> p ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s'gov.or_q/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` \ 1` _ Date: — <br /> Address. City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 61 0—Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTION <br /> 13� cS <br /> 62 <br /> S- 51 <br /> \\ <br /> 11 1 <br /> _ _ r <br /> ' IternfLocafi Temperature Item 1 tore <br /> 2- b-=•�Q <br /> (�- <br /> rewas' <br /> Name: Hand Sink: OF hiorine: ppm Heat: OF <br /> Exp.Date: arewashing Sink: OF r <br /> ust.Amm.: ppm Other: eF <br /> Received By 1 Title: V` ! r ' r <br /> EH Specialist: — �t� , br <br /> Time In: Time Out: V 11 Page of 1 1 <br /> END 16.24 (2ro pg) 4013 V F000 71V OIR CONTINUATION <br />