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o4gulN c SAN JOAQUIN COUNTY <br /> X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �q..•a�,.�;;P Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sipov.orq/ehd <br /> L�Foa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: (j,/'Z_/7_0 <br /> Address: 1/\r*-- City: Zip Code: <br /> 3 <br /> Owner/Operator: ._ Telephone: <br /> Program Element: -v Program Record: Inspection Type: okt <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> � $ RW N1, <br /> r OBSERVATIONS AND CORRECTIVE:ACTIONS <br /> v lG c� <br /> r �,h <br /> Ta CewwL <br /> �Z <br /> r,,l <br /> yr S.1 —N-W <br /> 14 11 <br /> \n, ✓two <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: -F Chlorine: ppm Heat: eF <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: _ <br /> / V <br /> Time in: Time Out: Page of <br /> EHD 16-24 (211 pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />