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T. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> La x <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> -3420 Fax: (209) 464-0138 Web:�mwvv.s'q /ehd <br /> Telephone: (2C9) 468 ov.org-- <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: % Date: <br /> Address: S City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted L Yes i- No Permit Posted F1 Yes i- No Re-inspection on or After: <br /> ........... <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> A <br /> J <br /> �J 00 <br /> + <br /> ij <br /> t <br /> _J <br /> 0, <br /> Z_ <br /> On, <br /> V/ <br /> 4 <br /> Lit! <br /> 0 <br /> L <br /> 4 <br /> 14 L V <br /> Iten-gLocatlion Temperature Item 1 Location Temperature Item 1 Location I-Temperature <br /> ill�[tj'j <br /> L/_/ <br /> Food Safety Certification f Facility Hot Water Temperature Warewashing <br /> Name: Hand_Sink: f 'F Chlorine: ppm Heat: °F <br /> Exp.Date: Warewashing k: 'F PPM Other: of <br /> Received By/Title: <br /> EH Specialist: Phone. <br /> tr <br /> Tmirne in: Time 01-1t: PL-1ge Of' <br /> P-10 16-24 X211 pg) 4'9r12 1OOD PROGRAH OIH CONT!NUATiON <br />