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SAN JOAQUIN COUK <br /> ?., ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.s'gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e Date: <br /> Address: D C� City: `t Zip Code: <br /> Owner/Operator 7L./ �„ Telephone: <br /> Program Element: '�lZ� Program Record: Inspection Type: <br /> B180 Posted Yes ❑ Permit Posted es ❑1 Re-Inspection on or After: <br /> OBSERVAILG AND CORRECTIVE ACTIONS <br /> l� <br /> vvx/ 'c C.0,l ] <br /> 3 lo6w 444vam kttt'A& ` �' 0(i�1 GL✓I �( <br /> �-•ciN <br /> Food Safety Certification Facility Hot Water Temperature F Warewashing <br /> Name: Hand Sink: of 'Chlorine: PPM iHeat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: -7> M Other: of <br /> Received By/Title: <br /> EH Specialist: _ _ 0 Phone: <br /> Time in Time Out: 1 Page 7of <br /> EHD 16-24 (2n1 pg) 44/3/13 FOOD PROGRAM OIR CONTINUATION <br />