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SAN JOAQUIN COUNTY <br /> :a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.si oq v.org/ehd ' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 ` , h Date: <br /> ddress: — e - City: Zip Code: <br /> wnerlOperator: Telephone: <br /> Program Element: _- Program Record: Inspection Type: l <br /> SBI80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> TIONS�AUP CORUCTIVE ACTIU <br /> M <br /> �`Yc .tr <br /> i <br /> 1 "Y � - - •� � •� � 7 � \ `['1 ' `ter <br /> 7" <br /> '- • F. <br /> } <br /> tem/Location ` Temperata it Item/LOCE i0erature <br /> Food Safety Certtficatio - Facility Hot Water Temperature 1M1 44'w"asfiing <br /> ta, Hand Sink: :FChlorine: ppm (Heat: F <br /> arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist-. �-- . t _ Phone:SA <br /> lore in: - Time Out: CNI Page of <br /> r. <br /> EHD 16-24 (2-°pg) 4,2113 FOOD PROGRAM OIR CONTINUATION <br />