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pe.4ulN. c SAN JOAQUIN COUNTY <br /> a 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 /> �IFdR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: O Date: tllgAtO23 <br /> ddress: 0'1 S City: C-` Q Zip Code: <br /> Owner/Operator: D Telephone: <br /> Program Element: 16 -214 Program Record: (11z s qq A�pinspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS ALI <br /> ✓l(�e ifit <br /> Ws 42do <br /> 'r4rh <br /> S2✓ IL9bA all i he <br /> ✓ 00 <br /> Oo i m S n <br /> atkvve <br /> mmnm� Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Slnk: 'F Chlorine: ppm Heat: J�FExp.Date: arewashing Sink: 'F Ouat.Amm.: ppmOther: <br /> Received By/Title:'V56t/3 / <br /> EH Specials : ovt Phone: <br /> Time in: i�S Time out: 10 M 2 Page Km of <br /> EHD 16-24 (2n°pg) 4/3'13 FOOD PROGRAM OIR CONTINUATION <br />