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o ° " SAN JOAQUIN COU1�' <br /> • � . .caG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.slgov.org/ehd <br /> 9LpFaRa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �/ f Date: <br /> Address: ja P City: ` Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted es No Permit Posted LY No Re-Inspection on or After: f/ <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rn GPS /�,� �-�.� �.�• T.� ��� ��_ �i��, �% - - <br /> r <br /> Item/Location Temperature Item!Location Temperature <br /> 4Qir �//r Ab <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: // �/c ^ Hand Sink: �a��f" of Chlorinepm Heat: of <br /> Exp.Date: t—a / arewashing Sink: �a0 of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 1-10 • Time Out: /o. - Page of <br /> EHD 16-24 (2^^pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />