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SAN JOAQUIN COON <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> r 600 East Main Street, Stockton, CA 95202-3029 <br /> .. p Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sioov.org/ehd <br /> 4CI F ORN� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: — Dater <br /> Address: T_iCity: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: tow <br /> p66y Inspection Type: <br /> B180 Posted 0,Ye.4 No Permit Posted XYes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> S lale/� AGI /a!`1 ar 37'�. <br /> —olCOA-71-1 ca <br /> emperature Hem/Location - Temperatures Item/Location Temperature <br /> I <br /> Food Sate Certification Facility Hot Water Temperature Warewashing <br /> Name:L e 1 AGN Hand Sink: D `F Chlorine: ` � ppm Heat: eF <br /> Exp.Date: _ D _ arewashing Sink: D 'F uat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Ph e: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2-Pg) 11!2/09 FOOD PROGRAM OIR CONTINUATION <br />