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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.siciov.org/ehd <br /> �ladR <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: r Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Fie-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS M <br /> C� <br /> 14 ) <br /> Y-y d o. <br /> w � <br /> L� - <br /> r <br /> r <br /> Temperature Item/Location Temperature <br /> Food Safety. Facility Hot Water Temperature warewashing <br /> Name: Hand Sink: °F Chlorine: ppm Heat: F <br /> Exp. Date: arewashing Sink: °F Quat.Amm.: ppm Other: °F <br /> L 1�Received By Title: <br /> EH Specialist: Phone: <br /> Time in: , S r Time Out: , Page of <br /> o , Sv <br /> EhD 16-24 (21 pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />