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SAN JOAQUIN COI.,.TY <br /> P <br /> 1O. .CGG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138-Web:www.sigov.org/ehd <br /> �iFo'Ra <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: N}S Date: <br /> Address: 7 City: �y,� Zip Code: q <br /> S 's S vP S d �'U Ll 41 �c,n ���,; 7S3 71 <br /> Owner/Operator: S0 la c Telephone: 9� 5O. iG72 <br /> Program Element: ' C f Program Record: r 7 7 2- Inspection Type: <br /> SB180 Posted Yes No Permit Posted -Yes -- No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> p et rn � � --- - - - - - <br /> Item/Location Temperature Item/Location Temperature <br /> )- - q) - — — <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: 'F <br /> Exp. Date: Warewashing Sink: �L of Ouat.Amm.: ppm Other: �F <br /> Received By/Title: <br /> EH Specialist: Phone: 7 <br /> Time in: ),2 L�S Time Out: Page <br /> of <br /> EHD 16-24 (2n'pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />