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C, SAN JOAQUIN COUNTY <br /> x ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ J. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: P C Date: s�� <br /> Address: �L �r ) City: �� f�+ Zip Code: <br /> wnerlOperator: y `T Telephone: <br /> Program Element: ���� Program Record: ,F p�Q9 f� Inspection Type: <br /> VV <br /> 110 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS' <br /> D \ <br /> 1 Q-- <br /> Item/LocationTemperature Item/Locatio <br /> Food Safety Certlflcation Facliity Hot Water Temperature u War®was <br /> Name: f Hand Sink: "F Chlorine: ppmv Heat: jFExp.Date: ashipg-Sink: of Ouat.Amm.: ppm ther: <br /> Received By I Title: <br /> EH Specialist: Phone: 2494 g_(/_� 7gr�-Z <br /> �r ff <br /> ime in: o Time Out: Page Zof <br /> EHD 16-24 (21 pg) 41113 FOOD PROGRAM OIR CONTINUATION <br />