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I <br /> xQ�a SAN JOAQUIN COU�� <br /> < p <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 �I <br /> Telephone:(209}468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> A<<koiia <br /> sll I <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Qv. QQ� Date: <br /> Address: / „j, City: f Zip Code: <br /> Owner/Operator: �D L i� �1� Telephone: a' <br /> Program Element: Program Record: Q Z /., Inspection Type: <br /> (l' i <br /> SBI SO Poste as ❑ No Permit Posted as ❑No Re-Inspection on or Atter: <br /> e <br /> at-' <br /> C��r_-taCt 1 l 6Cc -t " r6u 4 f <br /> �lLdil� T"f� J IA C 11�` La Q _ Com-& <br /> a4l <br /> turks- <br /> am- 77e- 1121- <br /> s2L ! <br /> 1 <br /> 1, <br /> f <br /> re <br /> l iI <br /> • II I <br /> 4 <br /> Name: Hand Sink: of Chlorine: ppm Heat: °F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: `F <br /> Received By/Title. <br /> .I! <br /> I <br /> EH Specialist: rZ,0VVK4 one: Y b <br /> i <br /> ime in: Time Out: Page 1 <br /> EHU 16-24 (2ntl pg) 1112109 FOOD PROGRAM OIR CONTINUATION <br /> II i <br /> i <br />