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AN JOAQUIN COUN Y <br /> Z <br /> ENVIFJNMENTAL HEALTH DE TMENT <br /> 600 E. Main Street, Stockton, CA 95202-3029 <br /> 17 Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ '411 e: b <br /> 22 <br /> Address: � City: e e O <br /> Owner/Operator: , f ^ Teleph64 0A �" <br /> Program Element Code: Program Record ID: 17 ion Typ <br /> �-i t- <br /> SB180 Posted Yes / No Permit Posted Yes /No Reinspection On or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Item/Location Temp. Item/Location Temp.r Item/Location Temp. <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: °F Chlorine: ppm Heat: °F <br /> Exp.Date: Warewashing Sink: °F Quat.Amm. ppm Other: ppm <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF THE SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. <br /> ALL DOCUMENTED CRI CAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. <br /> Received By: ,� Title: <br /> fN <br /> EH Specialist: Phone: �,—�'+e935t/ <br /> Time In: Time Out: l p, Page: of <br /> kgA_ <br /> FHD 16-23(2ND PG) FOOD PROGRAM OIR <br />