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arau!N, <br />r.' <br />•.:cgCl F d�R�`p <br />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.siaov.oro/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: �-� <br />US <br />Date: <br />ddress: <br />City: <br />Zip Code: <br />Owner/Operator: <br />Telephone: <br />Program Element: \\ _� <br />Program Record: <br />Inspection Type: <br />8180 Posted Yes No <br />Permit Posted <br />Yes No <br />Re -Inspection on or After: <br />OBS <br />CORR. <br />&TJSU <br />CLAV t�NL <br />he C <br />b <br />a,-, <br />_- Item/Location <br />Food Safety Certification Facility Hot Water Temperature <br />Name: and Sink: <br />"F Chlorine: <br />_ Warew fishing <br />Ppm Heat: F <br />Exp. Date: <br />arewashing Sink: <br />'F <br />uat Amm.: <br />ppm <br />Other: 'F <br />Received By/ Title: <br />' �� <br />uo( <br />EH Speclalist: <br />Phone: <br />ALJ <br />[me In: <br />Time Out: <br />Pa of <br />EHO 1624 (20Pg)4013 FOOD PROGRAM OIR CONTINUATION <br />