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SAN JOAQUIN COON',, <br /> 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 /> �/FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: '(�,(y�_ FbcdL'UQJ1C,�ti�ISC� Date: <br /> Address: IT9 City: Zip Code: <br /> Owner/Operator: W}vl Telephone: <br /> d`325 " <br /> Program Element: Program Record: Inspection Type:IS p <br /> 8180 Posted Yes ❑ Rermit Posted Yes ❑ I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Temperature <br /> ame: `�S�1 I `F Chlorine: ppm Heat: of <br /> Exp.Date:01t Gti\ Z�Ips arewashing Sink: of uat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: /l6 -3 <br /> Time in: 11 A W' Time Out: 7 3 Z Paget of t <br /> EHD 16-24 (2ntl pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />