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SAN JOAQUIN COUI ' <br /> .Z� 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 /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ .;� ;> > Date: ? <br /> ddress: City: Zip Code: <br /> Owner/Operator. ` Telephone: <br /> Program Element: Program Record: ^, Inspection Type: <br /> IS 6180 Posted ❑Yes ❑ Rermit Posted ❑Yes ❑1 Re-Inspection on or After: lf� 51 <br /> 1 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Oki <br /> -- Gvrn W-t-G LC- . LY <br /> wx'�- <br /> Item/Location1 Temperature Item 1 Location Temperature <br /> food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name. Hand Sink: F :Chlorine: ppm Heat: F <br /> Exp.Date: I Warewashing Sink: of Quat.AnI ppmOther: `F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page4of,2 <br /> EHD 16-24 (2nd pg) 413,113 FOOD PROGRAM OIR CONTfiJUATiO'd <br />