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aPA�1" SAN JOAQUIN COUN,.� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> a Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: a <br /> Address: Cityf- �A Zip Code: 37� <br /> Owner/Operator: /f Telephone: <br /> Program Element: aY Prograrfi Record: /J 3 Inspection Type <br /> B180 Posted s ❑ No Permit Posted..Ye No Re-Inspection on or After: <br /> e. TIONS AND CORRECTIVE ACTIONS i•- <br /> T <br /> Safety Certification Facility Hot Water Temperature ashing <br /> ame: Hand Smk: /� F Chlonn � r —ppm Heat: of <br /> Exp.Date: �0��/✓�" Warewashing Sink:,-;,;?, �p Ouat.A m.�/Q'� Ppm Other. eF <br /> I <br /> eceived By/Title:H Specialist: Phone: <br /> ime in: �� /. Time Out: -•rye an <br /> Pago <br /> EHD 1624 (2b pg)4/3&13 /✓ �'✓ FOOD PROGRAM OR CONTINUATION <br />