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Qu�H SAN JOAQUIN COUN-w( <br /> gat .coG �� <br /> ?, ENVIRONMENTAL HEALTH DEPARTMENT Pew <br /> N: :6 <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-62 <br /> . �q. • Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.s ov.or lehd <br /> �; <br /> -F' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> nate: 46-1 5-1 <br /> FNof Facility: �� <br /> City: Zip Code: <br /> s: ,\�5 d 'e)2-'S-,A <br /> yTelephone: U2S—"1 b S <br /> /Operator: 5.1�-L � y r� LJ <br /> Pro m Record: b 1 Inspection Type: �7 ,� t f <br /> Program Element: ,b 1 <br /> B180 Posted Yes El Permit Posted Yes ❑E Re-Inspection on or After: <br /> A 'CO �� A " <br /> pe <br /> �.. <br /> `��- � � cam. • _ 3�� <br /> 1 � , <br /> het #i1 *2lLfy:C� l7Idtid F .,. !1i'S11A9f f�: <br /> Name: 11 Hand Sink: eF Chlorine: ppm Heat: -F <br /> Exp.tate: Warewashing Sink: -F Quat.Amm.: ppm Other: 'F <br /> Received By I T' <br /> EH Specialist Phone: <br /> Q)- <br /> Time in: `1 �� Time Out: 12: PageZI Z <br /> EHD 16-24 (2N Pg( 413113 FOOD PROGRAM OIR CONTINUATION <br />