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SAN JOAQUIN COUNTY' <br /> :a <br /> YNVIRONMENTAL HEALTH DEPARTMENT <br /> :< <br /> 1868 East Hazetton Avenue; Stockton, CA 96205-6232 <br /> • ��,- a`�'. Telephone: (209) 468-3424 Fax: (209)464-0138 Web:www.s ov-or lehd <br /> FOOD R GRAM OFFICIA NSPECTION REPORT <br /> Name of Facility: Date: <br /> ddress: City: Zip Code: <br /> Owner]Operator: Telephone: <br /> Program Element: Program Record: a Inspection Type: a��'2 j <br /> 8180 Posted ❑ es ❑ Permit Posted ❑Yes 01 Re-Inspection on or After: 1 <br /> " OBSERVATIONS AND CC}RRECTlVE ACTIONS <br /> T / <br /> 0 2� <br /> f. ,D CyAVL rc <br /> a �v <br /> hs ; <br /> 0doc (AAA <br /> C <br /> r 1' <br /> 7 <br /> r� <br /> 7 " P r6AA <br /> [S-1 cj&cl e ar <br /> i <br /> IJ <br /> Ci <br /> r{C <br /> s <br /> 3 <br /> r <br /> .� <br /> 1teWILocatfon Temperature ; Item/Location Temperature <br /> r_4L. ill <br /> -- <br /> Food:safetyCert catiort',:�' Facility Hot WaterTempeiiture Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: 'F <br /> Received By 1 Title: <br /> EH Specialist: L Phone: <br /> Time in: Time Out: Page/if <br /> 257 n <br /> EHD 16.24 (20 pg) 413113 FOOD PROGRAM OR CMTrINUATION <br />