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QU�H SAN JOAQUIN COUNTY <br /> 3° <br /> r. = ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .•eR, �p Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s ov.or lehd <br /> ttFp4 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> J Date: .f _ <br /> Fddress: <br /> Facility: G r I'S <br /> f ` 12 Zip Code: <br /> o L d USQ hone: <br /> perator: <br /> Program Element: 1 U� Program Record: hl z C) S � Inspection Type: G j <br /> B18U Pos �0 ❑Yes ❑ i?ermit Posted ❑Yes I Re-inspection on or After: <br /> ted <br /> ofhe <br /> Qwar # 1 j. a kj <br /> k = >Wt€, <br /> t3ftl <br /> Name: rH1nd Sink: of Chlorine: ppm Heat: 'F <br /> Exp.Date: rewashing Sink: "F Quat.Amm.: ppm ther: 'F <br /> Received By!Title: JV I V d <br /> EH Specialist: Phone: <br /> time in: - -- - Time Out Page of <br /> EHD 1624 (2^ pg) 4013 FOOD PROGRAM OIR CONTINJATION <br /> 5 <br />