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SAN JOAQUIN COUNT Y <br /> N ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s' og v.org/ehd <br /> LrFaR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 6 <br /> ILI US <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 0(1 Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Iterrr✓Lecatio»., Temperature Item 1 Location Temperature <br /> Facility Hot Water Temperature 1W. Warewashing. <br /> Name: Hand Sink: `F hiorine: ppm Heat: "F <br /> Exp.Date: Warewashln of Quat.Amm.: ppm Other: of <br /> Received By 1 Title. <br /> EH Specialist: Phone: <br /> Ti <br /> me in: Time Out: PagefA(TTof J <br /> EHD 16.24 (2-pg) 4al3 FOOD PROGRAM OIR CONTINUATION <br />