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SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />F4..•. ... ;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />I. <br />Address: <br />.. <br />City: <br />�.� <br />:twner/Operator: <br />Telephone: <br />Program Element: <br />, [ i <br />'. <br />C_ B1 80 Posted Yes No Permit Posted Yes No <br />Re -inspection on or After: <br />OBSERIVIATIONS, AND CORRIECTIVE <br />v par Mm <br />L_..r A 166M,W,- <br />rAW <br />MEN <br />.., r.. r <br />.► ice. , ''' "MIM <br />Rill w <br />4t <br />u..i <br />A4�ozj 1. <br />Ism <br />Food Safety Certification Facility Hot Water Temperature <br />Name: Hand Sink: <br />ewashjnq <br />'F l� Chlorine: Ppm Heat: 'F <br />Received By /Title: l �j <br />•�11 <br />WE <br />EH Specialist: <br />.. <br />Time in:r rTime <br />Out: Page of <br />EHD16-24 (20pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />