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SAN JOAQUIN COUNTY <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> • 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s4gov.org/ehd <br /> 4L/Fo¢� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: p ;S !G I i nG- BS C,r 1 Date: q, 2 -)J <br /> Address: I W t? Uj; G r i Mil 5 City. 1 rG C Zip Code: C)S 3 0 <br /> Owner/Operator: J Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SBI 80 Posted ❑Yes ❑ No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> bl U 1l; Gfoil ; Or\ 5 <br /> ! C 3 c. <br /> Item/Location Temperature Item I Location Temperature Item I Location Temperature <br /> -Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: J'FExp.Date: Sink: ofQuat.Amm.: ppm Other: <br /> �? 2 <br /> Received By/Title: 4 <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page_of ,L <br /> 1:2D <br /> EHD 16-24 (2nd pg) 419/12 FOOD PROGRAM OR CONTINUATION <br />