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SAN JOAQUIN COUNTY <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .. �P• Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.s'gov.org/ehd <br /> 4G%FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: vDate: 6 tt <br /> Address: _2— Aie— City: C Zip Code: LG <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Z Inspection Type: <br /> IS 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 06 <br /> Item/Location Temperature Item!Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> -.. -- <br /> Name: Hand Sink: of Chlorine: PPM Heat: F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: PPm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: 1 Page of <br /> EHD 16-24 (2nd pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />