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0t,rkg'"' F SAN JOAQUIN COUNTY <br /> q ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.s' ov.or /ehd <br /> tr�d�a <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:(` ,� 77 777 Date: b- y _ Z <br /> Address: City: r Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element Z rogram Record: 2pu 1 S`j Inspection Type: . <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> BSERVATIONS AND CORRECTIVE ACTIONS <br /> N� 5 <br /> 2 <br /> L <br /> l�l/2SZ TT z.Z - <br /> � r <br /> � - <br /> f\s <br /> „'j4s P( ky\,- <br /> - <br /> Temperature ttem I i_ocatlo Temperature <br /> `. <br /> \ <br /> - <br /> "Q c —71 k bu <br /> d, Facility Hot Water Temperature ; Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: F Quat. Amrn.: ppm Cher: of <br /> Received By Title: <br /> EH Specialist: Phone: <br /> time in: Time Out: 1 Page of <br /> EHD 16.24 (2^ pg) 413(13 1 FOOD PROGRAM OR CONTINUATION <br />