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52i3L40 <br /> ova"1" o SAN JOAQUIN COUNTY <br /> a z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazeiton Avenue, Stockton, CA 95205-6232 <br /> . �... ;P Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orglehd <br /> q t!A d•RH - <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: _ <br /> Address: 1 1 ��1 City: Zip Code: C� ��0 <br /> Owner/Operator: CC <br /> _ Telephone: <br /> Program Element: \\,cj C Program Record: ` Inspeoffon Type: <br /> �2:LJT <br /> SB180 Posted Yes No J Permit Posted Yes No Re-Inspection on or After: <br /> OBSER TIONS AND CORRECTIVE ACTIONS <br /> -2 <br /> 1 <br /> s -�►ro-zQn <br /> 133 - 0 <br /> `0 5 F r y e <br /> !!�� em raiuri3_ Item I Location` Temperature <br /> \4- <br /> aeilit Hat W_aier Tem re Warewashing <br /> ame: and Sink: 'F Chlorine: ppm Heat: of <br /> Exp.Date: arewashing Sink: of uat.Amm.: ppm Other: of <br /> Received By I Title: S <br /> AV <br /> EH Speciall Phone: <br /> Time In: ' v' >�!1 Time Out: Page of <br /> END 16.24 IV pg) 4013 �J FOOD PROGRAM OR CONTINUATION <br />