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'4ParDti SAN JOAQUIN COU <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> •.. ;e Telephone: (209) 468-3,.420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> *ticd'd? <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 2 1-� Date: <br /> Address: l0 _ City: Zip Code: <br /> Owner/Operator: ✓ S17]iy Telephone: Z i <br /> Program Element: Program Record: Inspection Type: <br /> Sal 80 Posted 0 Yes 0 No Permit Posted 0 Yes 0 No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> _ tfj kW IAI✓ 40!u ,- GGI <br /> rut rta G <br /> vtt A <br /> h do✓ / �r <br /> "ItemlLocatlon Temperature' - Item I Location ;Temperature Item/Location Temperature <br /> Food Safety Certification - Facility Hot Water Temperature Warewashing <br /> Name: - -_ Hand Sink: •F hlorine: ppm Heat: •F <br /> Exp.Date: Vlarewashing Sink: .F uat.Amm.: ppm they: �F <br /> Received By I Title: / <br /> EH Specialist: Phone: <br /> Time In: i Time Out: Page of <br /> EHD 1623 (2i°pg) IIMM FOOD OIR CONTINUATION <br />