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>- W" SAN JOAQUIN COUNTY <br /> �o.�.coc <br /> to: X <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . c4.. a;P• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:' 1 C ` Date: �. <br /> Address: r ` \'�JG `e City:'T4� Zip Code: q 3 <br /> C� 4 <br /> Owner/Operator: A � Telephone: <br /> Program Element: 14 / Program Record: Inspection Type:< 1 <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> -- 1. <br /> -� C-�� - <br /> Sl <br /> Item/Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of Quat. Amm.: ppm Other: of <br /> Received By/Title: ` t�• /�97 <br /> EH Specialist- Phone: lA 6 <br /> Time in: Time Out: 2T Page of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />