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SAN JOAQUIN COUNT, <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �•. ;P. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjqov.orq/ehd <br /> 4L�FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ibis)A, AAahj 91 Date: <br /> Address: City: Zip Code: <br /> 141 sox <br /> Owner/Operator: f' Telephone <br /> Program Element: gram Record: 5/ ��. Inspection Type: <br /> SB180 Posted Yoe <br /> 2� 4qPermitPosted Yes Ll No o Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> UNIu <br /> 14 <br /> vV <br /> l <br /> Item/Location Temperature Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: 3 <br /> Time in: i ` Time Out: "; <br /> u : �+ ✓ Page 'of <br /> J <br /> f _ <br /> EHD 16-24(2nd pg) 419/12 FOOD PROGRAM OIR CONTINUATION <br />