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SAN JOAQUIN COUR <br />X ENVIRONMENTAL HEALTH DEPARTMENT <br />= 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.segov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />OBSERVATIONS AND CORRECTIVE ACTIONS` <br />r <br />. ,... „ <br />'i L <br />✓ T I- <br />A <br />C�ac-k duQ� <br />_ <br />AP ri 12-a- 1-D S <br />�P Sto <br />M_+Uw_w it) <br />-t SSI- <br />vm"'v Cv�u fee Q ' 6110 <br />l+uu.c} AK +- p <br />le,-. <br />Name: <br />a <br />Hand Sink: <br />perature <br />'F <br />Chlorine: <br />Warewasfiing <br />ppm Heat: F <br />Exp. Date / <br />arewashing Sink: <br />of <br />Quat. Amm.: <br />ppm <br />Other: of <br />Received By / Title - <br />EH Specialist: <br />Phone: <br />(y <br />d <br />ime in: r 1' <br />Time Out: In i <br />V <br />Page of <br />EHD 16-24 (2ntl pg) 4/3/13 <br />FOOD PROGRAM OIR CONTINUATION <br />