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- -- ----_SAN_.J OAQU I N COUNTY - <br /> -ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 EAST MAIN STREET,STOCKTON,CA 95202-3029 <br /> TELEPHONE:(209)488-3420 F,4X:(209)464-0138 WEB:WWW.SJGOV:ORGIEHD <br /> FOOD PROGRAM OFFICIAL INSPECTION-REPORT <br /> Name of Facility: �' Rk Dote: <br /> Address: � City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: eL) Program Record. 9 Inspection Type:LleG <br /> KB 18-0 <br /> Posted D Yes u No Permit Posted u Yes u No Rednspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Ion n fi e <br /> i <br /> I <br /> $czQ/F_v`�'L _ D G ,d Ll A4 <br /> /d G dont f See- <br /> Item 1 Location Temperature Item!Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: .SP_2 Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in:/ Time Out: r O_ Page of <br /> EHD 16-23 (2" pg) 8114108 FOOD OR CONTINUATION <br /> 08114108 <br />