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SAN JOAQUIN COUNTY <br />y� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />64i/Pda+;e Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sioov.ora/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />_ - - <br />Date: I a- <br />ddress: <br />' Z ` <br />City: <br />Zip Code: <br />Owner/Operator: <br />� <br />Telephone: <br />Program Element: <br />— �6 � Program Record. ,,r7 ,-- 36 -7 <br />T <br />Inspection Type: <br />SB180 Posted Yes No Permit Posted Yes No Re -Inspection on or After: <br />3SERVATIONS AND CECT VE ACTIONS, <br />_ OCA.) r <br />t <br />vfie C- <br />2 <br />a t <br />-_ <br />Itetti/Coeatlo <br />;. pe . <br />Tem re= <br />Name: (CP <br />Facility Hot Water Temperature <br />Hand Sink: 1�D �F <br />Chlorine: <br />Warewashing <br />ppm 11 Heat: `F <br />Exp. Date: <br />�! <br />arewashing Sink:F <br />Ouat. Amm.: <br />PPM <br />Other: of <br />Received By / Title: <br />EH Speciallst: <br />Time In:o <br />r <br />I <br />Phone: <br />Time Out: <br />�_ f� Page of <br />BID 16-24 (2w pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />