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WON -- <br /> SAN JOAQUIN COUNTY <br /> ?+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Name of Facility: �.� S i<Z to <br /> Address: 3� 1 City: LncLa-n Zip Code: �2 ('VOwner/Operator: C Nj �- Q k iUN Telephone: <br /> Program Element: a Program Record: p 3'b'oc1 Inspection Type: <br /> 8180 Posted Yes 11 Hermit Posted i I� Yes ❑I Re-Inspection on or After: <br /> <yz &AN 1 <br /> N0 N (jdcyt-4Sa-k- � fiMe, <br /> 'foe rtUnd cued can s1 - <br /> ort ttct't: K1- Tentature <br /> dr M M � , F i <br /> Name: Hand Sink: (OU -F Chlorine: {r\1011 ppm Heat: -F <br /> Exp.Date: Warewashing Sink: 126 eF QuaL Amm.: ppmOther: `F <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: aa Page of <br /> Q - <br /> EHD 16-24 (20°pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />