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L <br /> SAN JOAQUIN CC JTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q..• alp• Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.se ov.org/ehd <br /> (FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: s �� Date: _2-4A CA Q.- I <br /> Address: __ Q �� �� 2 City::l �� Zip Code: q S <br /> Owner/Operator: Telephone: <br /> Program Element: ` 2 Program Record: 5 2 Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 1 � <br /> 0-(YN <br /> Item/Location Temperature Item 7 Location r Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 1FChlorine: ppm Heat: `F <br /> Exp.Date: Warewashing Sink: \ �F Quat.Amm.: ppm Other: F <br /> Received By/Title: <br /> EH Specialis : - \� Phone: '\„i <br /> Time in: o �� Time Out: Page of <br /> G <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />