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SAN JOAQUIN COUN•_.1, <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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: C/ _ Date: <br /> as: <br /> ddreas: 1700 <br /> City: Zip Code: Gf-Jc3 <br /> caner/Operator: / • Teleph <br /> Program Element: Program Record: .O SInspection Type: <br /> 04�q12 / <br /> 8180 Posted - es J No Permit Posted X No Re-Inspection on or After: <br /> Food Safety Ce l - rrap,:•; cHity Hot Water Temperature Warewashing ,, <br /> Name: Hand Sink: 'F Chlorine: _ ppm Heat: 'F <br /> Exp. Date: a7 aO/ Warewashing Sink: O `F Ouat. Amm.: ppm Other: F <br /> Received By/Title: ,�� <br /> EH Specialist: Phone: ,,, y�� -5• <br /> ime in: 1-aO Time Out: �Q.>�5_ Pa of <br /> EHD 1624 (2n°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />