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SAN JOAQUIN COUNT <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazefton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> �,Faa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 2L<I Date: Z 1 _ 2 <br /> ddress- City: Zip Code: <br /> Owner/Operat r: t Telephone: <br /> Program Element: . Program Record: f'7? �� 2 /� 2 ZlnspectionType: C j tlt <br /> SB180 Posted Yes N Permit Posted Yes Na Re-Inspection on or After: �_1 <br /> OBSERVATIONS AND CORRECTIVE ACTIONS' <br /> r <br /> - <br /> C <br /> MIN <br /> _ <br /> ItemlLocal Temperature Temperature <br /> I <br /> Certitication _ Facility Hot Water Temperature Warewash1 , <br /> ame: and Sink: of Chlorine: ppm Heat: =F <br /> Exp.Date: arewashing Sink: F Ouat.Amm., ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: f Phone: 62 <br /> / CAS <br /> Time in: F3l C� Time Out: r Page of <br /> EH616-24 (2ntl pp) 413113 �' F00D PROGRAM OIR CON i INUA710N <br />