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SAN JOAQUIN COUNTY <br /> Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ;)4- b t k 4 Date: 0/4 l <br /> Address: • City: Zip Code: <br /> Owner/Operator: Ij <br /> Telephone: <br /> Program Element: MLI <br /> G_ Program Record: - J 1_ Inspection Type: e <br /> SB180 Posted Yes I Permit Posted { e No l (7 Re-Inspection on or After: <br /> . OBSERVATIONS AND CORRECTIVE ACTIONS <br /> • �ac� w G k F °Ie a-T <br /> • `� C G�vr <br /> Item/Location Temperature Item/Location Temperature <br /> Safety C2rt fication Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: OF Chlorine: ppm Heat: OF <br /> Exp.Date: Warewashing Sink: OF Quat.Amm.: ppm Other: OF <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16.24 (2"d pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />