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�``'" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1 868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �;.. �;;a• Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.si4ov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date- /Q /4 L <br /> Address: City: Zip Code: _ <br /> Owner/Operator: Telephone: <br /> Program Element: /6 !�� Program Record: R O a Z Inspection Type: 2l�G <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRg&VE ACTIONS <br /> , r <br /> 94 <br /> Jo <br /> c <br /> r <br /> ' [il <br /> S <br /> 32GI. 3cJ <br /> ' l� C <br /> ram. <br /> r C� <br /> Temperature Item 1 Location I Temperature <br /> - 4 <br /> I <br /> Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: °F Chlorine: ppm Heat: pF <br /> Exp.Date: arewashing Sink: °F Quat.Amm.: ppm Other: °F <br /> Received By/Title: <br /> EH Specialist: Phone: _ b1 1 D <br /> Time in: Time Out: 101, <br /> ro Page of <br /> END 16r24 (2nd pg) 413M 3 FOOD PROGRAM OIR CONTINUATION <br />