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SAN JOAQUIN COUNT <br /> .a ENVIRONMENTAL HEALTH DEPARTMENT <br /> M: s X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-8232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sfgov.orcllehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: 2, 1 SCity: Zip Code: <br /> OwnerlOperator: Z QS 9 Telephone: <br /> Program Element: �b l Program Rec rd: _2:__7 my�.Z Inspection Type: <br /> 6180 Posted ❑Yes C Rermit Posted ❑Yes El I Re-Inspection on or After: <br /> . <br /> � II» � <br /> 2 _ s <br /> —15- 1l0DWF <br /> - <br /> tomperatare <br /> Fz�oad�:�ftt�t � l�ci�'41i�at'!`�l�peralw�r+E� _ _ �Farewirt <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: 'F uat.Amm.: ppm ther: of <br /> Received By!Title: <br /> EH Specialist: ' Phone: t� <br /> Time in: ; Time Out: Page of <br /> EH016-24 (2a pq) 41303 FOOD PROGRAM OIR CONTINUATION <br />