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SAN JOAQUIN COU ! <br /> Z. ENVIRONMENTAL HEALTH DEPARTMENT <br /> P: <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Cq�/FO,n�j�P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.orq/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> FProgramElement: <br /> tr <br /> Date: <br /> Cit P <br /> Y� r ` Zi Code: w <br /> < - Telephone: <br /> t: Program Re r Inspection Type: <br /> Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> (J <br /> Vt:t f <br /> AP/A <br /> ' t'/lt <br /> l 0. si <br /> O <br /> f? (� <br /> , <br /> 0" Atocdj ��J <br /> .I? <br /> Item/Location u: Tempe�eture._ ma,r; Item/Location Temperature <br /> Food Safety Certification Facility Hot Water <br /> Temperature Warewastsing' <br /> Name: ,�i Hand Sink: (L of Chlorine: Ppm Heat: of <br /> Exp.Date: ; arewashing Sink: L ,F uat.Amm.: PPM ther: aF <br /> received By/Title: 'I <br /> H Specialist: Phone: <br /> rime in: Time Out: Page of <br /> D <br /> EHD 16-24 (2*Pg) Vall3 FOOD PROGRAM 01R CONTINUA ION <br />