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°�4 SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ - 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> lgsRa:P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:w_ww,sigov.org/ehd . <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> FAddress.- <br /> Date: <br /> /� L4"2--3~-/_ <br /> 20iA�Is �- X_D/� City: Zip Code: �z <br /> f 0 - L Telephone: <br /> 1 � Fes., <br /> /� rogram Record: Inspection Type: <br /> 1 ca 3 G Z� �� �,-ifi <br /> 6180 Posted C7 Yes ❑ No Permit Posted C Yes ❑ No Re-Inspection on or After: <br /> rr OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r ~ t6oz rn .n <br /> Item/Location Temperature Item 1 Location Temperature Item!Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: F <br /> Exp. Date: Warewashing Sink: 'F Quat.Amm.: ppm then: of <br /> Received By/Title: z <br /> �� LL <br /> EH Specialist: � Phone: q(,g <br /> Time in: 1 Time Out: r U Page I of+ <br /> LHD 16-24 (2^d pg}419112 FOOD PROGRAM OIR CONTINUATION <br />