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SAN JOAQUIN COUNTY <br /> ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax.(209)464-0138 Web:www.sigov.org/ehd <br /> �l FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 'Z - Date: 3-b-I 93 <br /> Address: 1 Code: 952--2--)1 <br /> Owner/Operator: \ �Z•� el ph ne: Q 0 3 –�14 <br /> Program Element: Program Record: Inspection Type. <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> _ I <br /> Item/Location. jb.Temperature Item Location Temperature <br /> LC <br /> od Safety Certification FacilityHot Water TemperatureWarewashing <br /> Name: ` Hand Sink: `F Chlorine: ppmHeat: 'F <br /> Exp.Data .,—� 2 2. Warewashing Sink: -F uat.Amm.: PPM then: F <br /> Received By/Title: ozae <br /> EH Specialist: c Phone: <br /> Time in: Q : Time Out: V Pagel of ' <br /> EHD 16-24 (2-pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />