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SAN JOAQUIN COON <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0: .. <br /> Y. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . c�•.. ;4 Telephone: (209) 46&3420 Fax:(209) 464-0138 Web:www.sjggov.ora/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: &7 _ <br /> Program Element: Program Record: OVK us <br /> Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> -MPBSERVATIONS AND CORRECTIVE ACTIONS <br /> S <br /> � � da Y � �nSr rLsi <br /> -7 P&W hey- <br /> • � <br /> h CIMIK <br /> „-, <br /> Temperature Item!Location Temperature <br /> MW,U ,I <br /> M Water Temperature Warewashing <br /> rExp. <br /> and Sink: `F Chlorine: ppm Heat: — IF <br /> ate: arewashing Sink: F Ouat. Amm.: PPm then. <br /> Received By A Tit 11110 <br /> EH Specialist; Phone: _ <br /> Time In: Time Out: PageyoI <br /> EHO 16.24 (21 pg) 4013 FOOD PROGRAM OR CO.•NNTTiNUAT10N <br />