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C44 <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.sioov.org/ehd <br /> � <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: flft Date: <br /> Address: vl/1 City: N Zip Code: O !, <br /> Owner/Operator: / / Telephone:olo — <br /> Program Element: Ii Program Record: P' Inspection Type: 1 <br /> SB180 Posted Yes o Permit Posted Yes No Re-Inspection on or After: <br /> b1ISERVATIONS AND CORRECT TIONS <br /> s U 1 <br /> Qh.Un nU <br /> - I <br /> Temperature m/Location Temperature. <br /> fety Certificatl� "_ Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: eF Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: 'F r <br /> uat.Amm.: ppm ther: `F <br /> ESpeclallst: <br /> Title: <br /> Phone:12Time Out: 1 M Pag f <br /> EHD 16-24 (2ntl pg)4/3/13 I 1 FOOD PROGRAM OIR CONTINUATION <br />