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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.sigov.orq/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: y <br />Date: 2 <br />Address: a <br />City: <br />Zip Code: <br />Owner/Operator: ,i <br />Telephone: <br />Program Element: <br />Program Record: b T - r& i <br />Inspection Type:mc <br />her <br />SBt80 Posted Yes No <br />Permit Posted Yes No <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />GtjGLE <br />L I ✓ <br />Iv� <br />3-TEMPTHERmpIAP _ <br />160°F <br />EGWrH tu,., 7rC <br />UIRW aH � 1]0°F <br />HHTpHlaLin, ]]°C <br />HII 180°F <br />82°c <br />r <br />W <br />� <br />O <br />Item/Location <br />Temperature <br />- Item / Location <br />Temperature <br />Food Safety Certification <br />- Hot Water Temperature <br />I' YJarewashing <br />Name: <br />Hand Sok: <br />F <br />Chlorine: ppm Heat: � <br />L,(; r F <br />Exp. Date: <br />Warewashing Sink: <br />`F <br />!Quat. Amm.: ppm then. <br />°F <br />y/Title. <br />Received By/Titley- <br />EH Specialist: t !) ni n,.n <br />1 <br />I <br />2� <br />Phone: ? �t� ,.,40--30V <br />Time in: <br />Time OutI <br />Page:3o <br />EHD 1624 (2-p3) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />