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S JOAQUIN COUN <br /> ENVACMENTAL HEALTH DEPWTMENT <br /> 600 E. Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 2TI'A61-14 3 <br /> Address: 32� City: Zip Co e'( <br /> 7 <br /> Owner/Operator: Telephone: <br /> Yzz— <br /> Program Element Code: Program Record ID: AM'tz I pe <br /> SBI80 Posted Yes No Permit Posted Yes No Reinspection On or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> PA <br /> Item/Location Temp. Item t Location Temp. Item/Location Temp. <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: *F Chlorine: ppm 11 eat: oF <br /> Exp.Date: Warewashing Sink: *F Quat.Amm. ppm 11Other: ppm <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF THE SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. <br /> DOCUMENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. <br /> Received By:/% Title: <br /> I I--^/ 10 V IS <br /> EH Specialist: Phone: wg- 0—�3�� <br /> Time In: Time Out: Page: of <br /> FHD 16-23(2ND PG) FOOD PROGRAM OIR <br />