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" '"• SAN JOAQUIN COUNT <br /> z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> `dYirdtr;: Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaoy.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: Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted yes No Re-Inspection on or After: <br /> sOBSERVATIONS AND CORRECTIVE ACTIONS <br /> 6 <br /> P <br /> /O <br /> Item/Location ,m alure <br /> Food Safety Certification Facility Hot WaterTemperature Warewashing <br /> 7 Grew <br /> me Hand Sink: ..F Chlorine: PPm Heal: F <br /> xp.Dale: Warewashing Sink: .,F Ouat. Amm.: PPm Other: 'F <br /> Received By <br /> EH Spec' ist: �liGr Phone: <br /> ime in: Time Out: Page-tof <br /> ERG 16-24 (2°pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />