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SAN JOAQUIN COL" 'Y <br /> � •.OG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sm-ov.org/ehd <br /> ��FOFRt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: h 1' J Date: C <br /> Address: City: C� t Zip Code: <br /> Owner/Operator: � r Telephone: <br /> Program Element: Program Record: 47 42 q C, Inspection Type: <br /> 8180 Posted Yes ❑ Permit Posted Yes ❑ 1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> A h <br /> i <br /> • w 1ev�� . <br /> a K9d v l <br /> f <br /> 1 VVA <br /> �k-r Item/LocatiAftem/L T <br /> Gtr y O <br /> e <br /> 1 <br /> _7 <br /> Facility Hot Water;Temperature Warewashing <br /> Name: Hand Sink: of (Chlorine: ppm Heat. J'F <br /> Exp.Date: arewashing Sink: l �' of iQuat.Amm.: ppm Other: <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: ( ' Time Out: Q Page�of <br /> EHD 16-24 (2n'pg) 41313 FOOD PROGRAM OR CONTINUATION <br />