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0.P°"'" SAN JOAQUIN COU, f <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.sj ovc�.or /q ehd <br /> 9<<FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> ddress: j1 City: Zip Code: CY 11 <br /> Owner/Operator: VV in ffy Telephone: <br /> Program Element: (ogProgram Record: Inspection Type: . <br /> SB180 Posted ❑Ye [T No Permit Posted ❑Yes ❑ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r L <br /> � � J <br /> k' h441q- <br /> Item/Location Temperature Item/Location Tem erature Iterrf/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: ewashing Sin . of Quat.Amm.: ppm Other: of <br /> Received By/Ti <br /> EH Specialist: Pho e• g r�� <br /> Time in: Time t: Page of <br /> EHD 16-24 (21'pg) 4/9112 FOOD PROGRAM OIR CONTINUATION <br />