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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.sigov.org/eh <br /> ;�FOtl� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ' Date; <br /> Address: z lam. City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: 2 , -Program Record: ZJ 0Q 2 Z p v Z Z Inspection Type: <br /> SBISO Posted Yes Nb Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTION MP <br /> r <br /> S71 4-1 <br /> Temperature _ Item/Location - -- Temperature <br /> l_ <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: F hiorine: PPm Heat: F <br /> Exp. Date: arewashing Sink: of Quat.Amm.: ppm they: F <br /> Fi <br /> Specialist:celved By/Title: �' Phone:me in: Time Out: I Page of <br /> EHD 16-24 (2' pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />