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0�' c SAN JOAQUIN COUNTY <br /> �.•-�••.off <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> n, 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.orglehd <br /> 4LlFO�a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L Date: 4 2 — <br /> Address: 10 City: Zip Code: <br /> OwnerlOperat Telephone: <br /> Program Element: Program Record: Ple ' f}� Inspection Type: f <br /> SB180 Posted Yes No Permit Posted Yes No l/ Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Y <br /> e_ <br /> use , <br /> L '-t <br /> Ck <br /> a� <br /> lvcEvrlfo 7 <br /> r � 1 <br /> . <br /> l <br /> re _ Item!Location Lgemperature <br /> (t of ffater Temper to Warewashing <br /> ame: and Sink: "F Lhrine: ppm 'Heat: 'F <br /> Exp.Date: arewashing Sink: "F t.Amm.: PPM Other: "F <br /> Received By/Title: <br /> H Specialist: Phone: Y <br /> �- <br /> Time In: ry i Time Out: Page of <br /> EHD I&24 (2nd pg) 4rN13 L FOOD PROGRAM OiR CONTINUATION <br />