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SAN JOAQUIN CO' TY <br /> 4: � ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.or /q ehd <br /> 4�iFo.Ra <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT o15 ,� <br /> Name of Facility: Date: <br /> Address: q10n City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: / Program Re S�3 ?� Inspection Type:012f/li v6Y�+ <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> . ��u <br /> D .dPrl� M h d <br /> otM <br /> rvl�•�k �. 3 F a�-r <br /> I <br /> 1►:ODa,r <br /> L7 <br /> --- --- Item/Locat"sonTsinperature item/Location -- Terraperature <br /> 115 <br /> --. _ <br /> Food Safety Certification F Facility Hot Water Temperature ( Warewashing <br /> Name: Hand Sink: °F Chlorine: PPM Heat: `F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: PPM Other: T <br /> Received By/Title: <br /> EH Specialist: Phone: _ 0+ <br /> Time in: r Time Out: ie Page?—of <br /> EHD 16-24 (2^'pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />