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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209}468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOR <br /> AL1 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: _ Date: <br /> Address: City: �—� zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 1 C) —Ov (q- Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: �Z <br /> BSSRVATIONS AND CORRECTIVE ACTIONS <br /> M!I—% ' k.fit' C S.. lIA a 9 <br /> iIle- <br /> (90 <br /> 90 <br /> '3 - �, <br /> ,.V. ' a <br /> I i ' r <br /> �: ►. �. �4 <br /> "'A <br /> r — s <br /> Pyla <br /> G 2'7 <br /> 4L <br /> LCLI <br /> TEmperat Item 1 Lacatio emperature <br /> rand <br /> ctli Hot Water Temperature Warewashing <br /> Name' Slnk: F Chlorine: ppmHeat: of <br /> Ex .Date: ashing Sink: °F Quat.Amm.: ppm Other: op <br /> P PP <br /> Received 8y 1 TI e: <br /> EH specialist: r -4C� Phone: <br /> Ti in: Time Out: Page (of <br /> EHO 16-24 (2ntl pg)413113 FOOD PROGRAM OIR CONTINUATION <br />