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ahp41" SAN JOAQUIN COUN' <br /> ` ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq P <br /> Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: P Date: <br /> ddress: City: Zip Code: <br /> wner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> 13180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> .; G. OBSERVATIONS AND CORRECTIVE ACTIONS _ ,..._. <br /> (lot zuc_14*4 <br /> � r �rYylf1c- / <br /> S <br /> _ y <br /> - . $ / <br /> a <br /> < � m <br /> •- .. -d Safety Certification Facility Hot Water Temperaturewarewashing �...... <br /> ame. Hand Sink: ..F Chlorine: Ppm Heat: F <br /> xp. at arewashing Sink: `F Ouat. Amm.. PPM Other. of <br /> waived By/Title: <br /> H Specialist: <br /> ime in: Time Out: Pag f <br /> EHO 1rr24 (2-1)9) 4/313 FOOD PROGRAM OIR CONTINUATION <br />