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SAN JOAQUIN COUNTY <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> w: . x <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> (FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S�r.l �- Date: <br /> 2- <br /> Address: City: 1�4A­ Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: ` M S Program Record: `� 2,OS v Inspection Type: L <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND COR ECTIVE ACTIONS <br /> ' <br /> r <br /> (00 <br /> vv <br /> r <br /> 1 <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: OF <br /> Received By/Title: / / <br /> EH Specialist: Phone: <br /> Time in: Time Out: j H Page of <br /> EHD 16-24 (2ntl pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />