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o04* 0 IN <br />9M,4& SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.si oq v.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />INEEMEN <br />Name of Facility: �� <br />�� Date. <br />r �� � <br />Address. �r / City: <br />Zip Code: <br />Owner/Operator: <br />Telephone. <br />Program Element: Program Record. <br />Item /Location <br />Inspection Type. <br />SB180 Posted es No Permit Posted Ces No <br />ME soossoosso <br />Re -Inspection on or After. <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />W2 two, tsot, <br />40 <br />4� I�Glow- <br />en s40r <br />19KA Y 4-sttwO o �� , r �r �' 0Agee <br />S <br />m4 ir <br />EHD 16-24 (2°� pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />Item/Location <br />Temperature <br />Item /Location <br />Temperature <br />Food <br />Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />Name: 1f <br />r� <br />'�' , <br />Hand Sink: p � °F <br />Chlorine: �� ppm <br />Heat: OF <br />Exp. Date: Feb <br />A h- <br />Warewashing Sink: r �� / °F <br />Quat. Amm.: ppm <br />Other: of <br />EHD 16-24 (2°� pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />