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P,.Ck q N <br /> SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 4.68-3420 Fax: (209) 464-0138 Web:vrww.sigov.oqLlehd <br /> Name of Facility: FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Date: <br /> Address: <br /> s!� <br /> City: Zip Code: <br /> Ow e/Op" <br /> Owner/Operator: <br /> Program <br /> _Element: <br /> Telephone: <br /> a ent- <br /> rograrn Element: Program Record:�7 ) I Inspection Type: <br /> z' <br /> S181 80 Posted Yes F1 No Permit Posted Yes F, No <br /> F Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ILL- <br /> ----- <br /> Item/Location Temperature Item Location Temperature_ Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm I�Heat. of <br /> Exp.Date: Warewashing Sink: op Quat. Amm.: ppm ether: <br /> F <br /> Received By/Title: 14 <br /> EH Specialist: <br /> Phone: <br /> Time in: Time OLFt: Page of <br /> EHD 16-24 �P"d pg) 419!12 F(-,CD PROGRAM CIP CONTINUATION <br />