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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.sipov.orq/ehd <br /><<FOR <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: G <br />Date: � - <br />Address: / / s City: <br />(•CJ <br />Zip Code: <br />Owner/Operator: g <br />Telephone: <br />Program Element: Program Record: Z <br />Inspection Type: <br />6180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />EHD 16-24 (2°' pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />OBSERVATIONS AND CORRECTIVEACTIONS <br />'11111111151 1111IF: <br />i <br />Item Location..� <br />�— <br />... Safety Certification <br />Facility Hot Water Temperature <br />Hand Sink: • <br />.. <br />. .. <br />ppm <br />- <br />Received By/ Title: <br />/' -. <br />i <br />EH Specialist: <br />r <br />Time in: <br />' <br />Time Out: <br />_-0 <br />Page of <br />EHD 16-24 (2°' pg) 11/2/09 FOOD PROGRAM OIR CONTINUATION <br />