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SAN JOAQUIN COUNTY <br /> p' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgay.org/ehd <br /> �IF�R <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> 0wner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> / OBSERVATIONS AND CORRECTIVE ACTIONS <br /> `) - <br /> r <br /> Tempe ratu item/Locatlon"Im WemperatuW <br /> Facility Water Tern Warewashing <br /> ame: and Sink: of hiorine: ppm Heat: jExp.bate: arewashing Sink: °F uat.Amm.: ppm ther: <br /> Received By!Title: <br /> EH Specialist �` ^` Phone: <br /> Time In: t Time Out: Page of <br /> 1 <br /> EHD 1&24 (2N pg) 413113 I FOOD PROGRAM OIR CONTINUATION <br />