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SAN JOAQUIN COUN1 <br /> N: :t <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sagov.org/ehd <br /> �lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: J - Date: <br /> S b y . � 7 <br /> ( � <br /> Address: n 5 y: Zip Code: <br /> Owner/Operator: If L Telephone: ^� <br /> Program Element: 1 t n Program Record: C,� Inspection Type* <br /> AJUIS w � <br /> B180 Posted I UL ❑Yes ❑ Rermit Posted ❑Yes n I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> At Aly <br /> a a <br /> a <br /> vw dY /j'4_U <br /> Em <br /> PAlZyni <br /> ratu ItemlL.ocation *emperatur <br /> Food Safety Certi bnility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm ther: of <br /> Received By/Title. <br /> EH Specialist: Phone: IV <br /> Time in: 0 1 Time Out: Page of <br /> EHD 16-24 (2n°pg) 4/3113 FOOD PROGRAM CIR CONTINUATION <br />