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- quilt' <br /> SAN JOAQUIN COUNTY <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c4��FdRaa Telephone: (209)468-3420 Fax: (209)464-0138 Web:www-siggy.orwehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> FNameacility: s re t')We Date:Cit : �vf pG�� G rt r aSS.h y i n c h OGS Zi Code: <br /> wnerOperator: t Telephone: <br /> Gu tG;n ouse r 'f L G <br /> LProgrLamElement:. Program Record: lnspection Type: <br /> GG, ld 11 Yes ❑ Rermtt Posted ❑Yes ❑1 Re-Inspection on or After: <br /> !11 f h a .rn Wu z� P <br /> !1 U G Cf <br /> TPC G d4 it <br /> Tr e 84area OY\ box e S sl orcc-_- <br /> r ' ae t. r, r1,oe 4o d6 V <br /> 1{ ElOrz, 6 nK _ c- C 1 . U Oii <br /> 1 <br /> a LA r4 C u r e A rn e C i �u �C' ri n afJW fa , <br /> e <br /> �aI ;IN _ u1 � 1-d ao y1 � <br /> �. _`" <br /> Name: Hand Sink: �+' 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: r1arewashing Sink: tl �1 of Quat.Amm.: ppm Other: of <br /> Received By I Title: I <br /> EH Specialist: _ Phone: <br /> Time in: i t�ft' Time Out: (7 Page2of z <br /> EHD 16-24 (2-pg) 413!13 f FOOD PROGRAM OIR CONTINUATION <br /> � I <br />