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SAN JOAQUIN COUNTY <br /> ]•�iF'A <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> {TIFs �;a Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.siaov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Scman Date: <br /> Address: S .4- f CJ w �� City: s Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 1 (OOC) Program Record: �RU�}� � <br /> F() (P Inspection Type: <br /> SB180 Posted Yes 1 No Permit Posted Yes No Re-Inspection on or After: V <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Come to E*D toSvtbrs�r� tuns C11- U <br /> G now SN t 'f ito <br /> of C-, i±m CcAnn(* .��ie i i- a val.; <br /> C cfi� e+-Ii- rrI.AQSco at- <br /> n <br /> ,..II WW Item/Location Temperature - Item/Location' Temperature <br /> Food Safety certification - Facility Hot Water Temperature '..' Warewashing <br /> Name: - Hand Sink: of Chlorine: PPm Heat. F <br /> Exp. Date: arewashing Sink: 'F Ouat.Amm.: Ppm -(Other: `F <br /> Received By/Title: .t.._ cfn <br /> EH Specialist: 1 Phone: <br /> !me in: t Time Out: it Page, f <br /> EHD 1&24 12^ pg) 4/313 1 FOOD PROGRAM OIR CONTINUATION <br />