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Pa"'"• SAN JOAQUIN CC TY <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q..., �`p.. Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sugov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S Date: o2_ - 03— IS <br /> Address: Z S^ City. Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 0 1-0 S2 I <br /> Inspection Type: <br /> u <br /> SB180 Posted es No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> La. <br /> IL r J <br /> Item/Location Temperature Item!Location Temperature <br /> iM <br /> 1&tscd C� — <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 1 z of Chlorine: ppm Heat: �F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: `F <br /> Received By/Title: _Wj <br /> -..�. <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> 171 <br /> EHD 16-24 (2^^pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />