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"q SAN JOAQUIN COUN'. <br /> r. ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: `a <br /> a <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> `4...... . " Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> �1FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q S"1WZe Date: <br /> D8 - D <br /> Address: 600 <br /> ke.L "I City. MC4 h 42 G Zip Code: 9S <br /> caner/operator: Q r rP. Telephone:LZ 3_ ? <br /> Program Element: a. Program Record:�bkS D �/! S Inspection Type: <br /> B1 BO Posted Yes G No Permit Posted kyes No Re-Inspection on or After: <br /> 7a, G /1 r{ G/ <br /> �`S OlC 4'D fore ro r� C- s <br /> 45. <br /> J7;-- Fr- AIA , hcs ner C&mA r d <br /> Ca / / f Yd6i • U, �nCels/,1-4 <br /> OT f S <br /> Temperatd <br /> Certification Facility Hot Water Temperature <br /> Name: � / �s Hand Sink: e6- hlorine: ppm Hest: a6- <br /> Exp.Date: O arewashing Sink: e6- uat.Amm.: ppm ther: eF <br /> Received By/Title: <br /> EH Specialist: h_ Phone: <br /> Time in:�a , q _ Time Out: Page of - <br /> EHD 16-24 (2n°pg) 111VO9 Y FOOD PROGRAM OF CONTINUATION <br />