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0. SAN JOAQUIN COUh <br /> � �.coG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sipov.org/eh <br /> L4ORl� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 o r -I =c) Date: <br /> Address: City: Zip Code: <br /> 2.� q-z S , -1 o c��c1� � ri � � �-,.,_' G�20 lv <br /> Owner/Operator: h G1 M Telephone: <br /> Program Element: ;�2, Program Record: R a �`_ o Inspection Type: �c� <br /> SB180 Posted Yes No Permit Posted Ye No �U Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> +tea <br /> C111 <br /> Item/Location Temperature Item 1 Location Temperature <br /> Food Safety Certrfication Facility Hot Water Temperature Warewashing <br /> - -- <br /> Name: �i Hand Sink: -F Chlorine: ppm Heat: F <br /> Exp.Date: 0P2- /7 Warewashing Sink: of Quat.Amm.: ppm Other: -F <br /> Received By/Title: <br /> r <br /> EH Specialist: Phone: <br /> Time in: I' i yr Time Out: Page of <br /> EHD 16.24 (2^d pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />