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°"I" SAN JOAQUIN COUNTY <br /> 2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: .a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sygov.org/ehd <br /> ��FO¢ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ,, Date: <br /> Address: 2 City: Zip Code: <br /> Owner/Operator: T„+y Telephone: <br /> Program Element: �—t) Program Record: l �Z Inspection Type: <br /> SB180 Posted es No Permit Posted a No Re-Inspection on or After: <br /> ERVATIONS AND CORRECTIVE ACTIONS <br /> ° t <br /> 1Fcf,4i s a IV, we. <br /> • i L �— CA . <br /> 4 ` <br /> em/Locatio - ture Item/Location Temperature <br /> a�nnU Z(Lc — -- <br /> ood Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of (Chlorine: ppm Heat of <br /> Exp.Date: Warewashing Sink: of Lat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: s Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2i0 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />