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o.P4klN• c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> d<c Faa�'a•. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sioov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: i <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> RVATIONS AND CORRECTIVE ACTIONS <br /> r <br /> ILI <br /> 1 <br /> y�L7 �X�. L'7_S <br /> Item/Location Temperature Item/Location I—wperaturel <br /> Food Safety Certification Facility Hot Water Temperature_ Warewashing', <br /> Name: Hand Sink: 'F Chlorine: PPM Heat: 'F <br /> Exp. Date: arewashing Sink: 'F uat.Amm.: PPM Other: 'F <br /> ESpecialist: <br /> itle: <br /> Phone: <br /> Time Out: I Page of <br /> EHD 16-24(2-pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />