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SAN JOAQUIN COb.•Y <br /> r. ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: t< <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 /> [Adod <br /> e of Facility: Date: <br /> ress: City: Zip Code: <br /> ner/Operator: Telephone:wis 4 6- 8098 <br /> gram Element: � � Program Record: � f7 t Inspection Type: [�•1t�80 Posted Yes No Permit Posted Yes No a Znd /� <br /> Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> W 4:msln I& r <br /> tb WOr w. <br /> t 42 r r <br /> v-L <br /> � Zn <br /> ALL 40- wa-i 47 55 '5 Aq+;o Was u <br /> le <br /> i5 a or .P A, 12Q <br /> and da r uc'*-6 se a.27?1-- or e.0 Ve c' <br /> 1A. beysp4ne I dbil <br /> _ _ __ --- <br /> lter; Location Temperature�� Item f Location Temperature <br /> r 4L'.'-jam Wil. <br /> Food Safety Certification IL. Facility Hot Water Tempe ature ' Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: `F <br /> Exp.Date: - arewashing Sink: - "F Quat.Amm.: Ppm Other. `F <br /> Received By/Title: <br /> EH Specialist: /_ L Phone: <br /> Time in: 'a . .O Time Out: r05 Pagel of f <br /> \\\ EHD 1624 (2^ pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />