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SAN JOAQUIN COUNT . <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> ��FpRN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: �a <br /> Address: City: L,,,/r -- Zip Code: <br /> Owner/Operator: v G Telephone: s/ <br /> Program Element: r� Program Record: "'] r/ Inspection Type: (( <br /> SB180 Posted Yes No Permit Posted Yes No—f/ �—t� Re-Inspection on or After: <br /> r, OBSERVATIONS AND CORRECTIVE ACTIONS <br /> � 7 <br /> Gt uti 'Lu l. iI Y3 2-- <br /> ew <br /> a <br /> 2 , <br /> �e <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 Ouat. Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: 0 Time Out: Page of <br /> EHD 16-24 (2nd pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />