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SAN JOAQUIN COUNT" <br /> l: ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> c�4•., Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sfqov.org/ehd <br /> <;ig <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: �3 <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: fn r b <br /> Program Element: Program Record: Inspection Type: C/ <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rq <br /> co <br /> jUM90 lat <br /> Temperature item 1 Locati . Temperature <br /> cation Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: `F Chlorine: PPm Heat: 'I <br /> Exp.Date: arewashing Sink: =F Quat. Amm.: ppm Other: F <br /> Rece ed B <br /> H Specialist: one: �. f f✓ <br /> Time in: Time Ou : Page of <br /> EHD 1 g•24 (2n"pg) 4V3113 FOOD PROGRAM OR CONT€NCATION <br />