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otQui"' SAN JOAQUIN COUNTY <br /> y+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.si-gov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: c' <br /> Address: JY City: Zip Code: 3 <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: ,O �G Inspection Type: <br /> 80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 00 <br /> f � <br /> O <br /> OQ <br /> V <br /> c <br /> 66 <br /> r <br /> �r+ 1 <br /> Facility Hot Water Temperat <br /> rExp. <br /> e: Hand Sink: aFChlorine: ppm Heat: of <br /> Date:7 Warewashing Sink: of Quat.Amm.: ppm Other: p e <br /> Received By 1 Title- <br /> EH Specialist: Phone: / j J 2. <br /> me In: OAIM <br /> Time Out: 0 ' � [1, of Page 7 <br /> EHO 16-24 (211 pg) 4rN13 rJ FOOD PROGRAM CiR CONTINUAT{ON <br />