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°". <br /> -- SAN JOAQUIN COUNO <br /> pp,.... ... C` <br /> '-+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.segov.org/ehd <br /> �/FORc+ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Q j mdvce �(;Yopoi <br /> Date: 1OLVK <br /> ddress: t� v r1 ity: S L �1 Zip Code: _ /V_ <br /> Owner/Operator: h �[J CA CJ Telephone: <br /> Program Element: vJU� Program Record:. GO r_ Inspection Type: �i n�-- <br /> B180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 50 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> U J.� <br /> V1 ro SCAM S ccq-)-�mte- <br /> o'M 1 whd nuc <br /> re C/YCk U90 <br /> s <br /> Temperature <br /> Food Safety Certification Facility Hot Water Temperature <br /> Name: Hand Sink: of L.: <br /> ppm Heat of <br /> PPExp.Date: arewashing Sink: of m Other: of <br /> Received By/Title: <br /> G-� <br /> EH Specialist: Phone: eD <br /> Time in: Q Time out: V"U Page of <br /> EHD 16-24 (2^d pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />