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SAN JOAQUIN COUN <br /> •.OG <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ = 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q.... ,..��p Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sagov.org/ehd <br /> LIFpR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Jam, Date: <br /> ddress: �� �, City: Zip Code: <br /> a s2\ <br /> Owner/Operator: \ •\ Telephone: -2 <br /> Program Element: b23 Program Record: S2 5q�p Inspection Type: <br /> 6180 Posted KYes ❑ Rermit Posted 1XIyes l❑I Re-Inspection on or After: <br /> OBSERVATIQNS ANp CtQRRE T1VE ACTIONS <br /> C �. --` <br /> 'yf�� <br /> ttemll ocatio ... > Temperature item i LocatEon �.. ; Temperatures <br /> bl = c 5 X13 F- <br /> � <br /> n Name: - Hand Sink: of hlorine: ppm Heat:F DF <br /> � � <br /> C Exp.Date: 4 V WT washing Sink: 12 of uat.Amm.: o ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 1, Time Out: NVQ S-� Pag of <br /> EHD 16-24(200 pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />