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opa"'1" SAN JOAQUIN COUN" <br /> y' .X ENVIRONMENTAL HEALTH DEPARTMENT <br /> - - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q..,,• ..�;:P Telephone:(209)468-3420 Fax.(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: / City: Zip Code. <br /> Owner/Operator: Telephone: ( ' <br /> Program Element: a Program Record: /7 Inspection Type: <br /> B180 Posted Yes �j No Permit Posted :,Yes o Re-Inspection on or After: <br /> .. ...... <br /> .�i��iar, �'�c�� "7t i�t�/r�i iC��/�� l-•✓/�/iir^, � G�� �� <br /> 7K <br /> IterILoeattan 'ernperature Item!Location �'Temperature <br /> Food Safety Certification- Facit ifst 'r Tempera Warewashipq <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: of <br /> Exp.Gate: Warewashing Sink: of uat.Amm.: ppm ther: of <br /> Received By 1 Titl �— <br /> EH Specialist: <br /> ime in: /� Time Out: Paf <br /> EHD 1624 (2n0 pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />