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SAN JOAQUIN COUP <br /> ' 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 /> �IFOR <br /> FOOD PROGRAM OFF CIAL INSPECTION REPORT <br /> Name of Facility: C Date:C40 dj 1) 54 <br /> Address: J( S City: Zip Code: <br /> Owner/Operator: V ,1 Telephone: <br /> Program Element: ).\ Prog m Record: Inspection Type: 'C-/� I� <br /> SB180 Posted 71 Yes ❑ Rermit Posted ❑Yes ❑t Re-Inspection on or After: Y` <br /> ~� OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G � <br /> 17n`F 77`C <br /> r�.03z C <br /> GUrGrVl��i� s� l <br /> ----- <br /> Facility Hot Water Temperature <br /> Name: vq �- I/I t(G��1W Hand Sink: ( of Chlorine: ppm Heat: //„� of <br /> Exp. Date: U y l I arewashing Slink: Lo <br /> of Quat.Amm.: ppm ther:( lY of <br /> Received By/Title <br /> i <br /> EH Specialist: phone: _IVY <br /> Time in: Time Out: Page f <br /> =HD 16-24 (211 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />