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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �•., �;o . Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.or./cehd <br /> Cikos� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Elate: L <br /> L149 ' <br /> Address: City: 1A 4 Zip Code- <br /> Owner/Operator:- Telephone: <br /> Program Element: lei <br /> Program Record: D S 2 Inspection Type: <br /> SBt80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> (ANNAM91AND CORRECTIVE ACTIONS <br /> Kilo <br /> r r <br /> C7 <br /> ' � te- - <br /> lope <br /> r <br /> i <br /> C� <br /> i <br /> ItemlLocation Temperature Item 1 t-ocation Temperature <br /> - - - - -- <br /> f n Facility Hot Water Temperature WarewashinqJIIIIIIIIIIIIIIIIIIIII <br /> Name: -- Nand Sink: -- °F Chlorine: ppm Heat: of <br /> Exp.hate: arewashing Sink: `F Quat.Amm.: ppm Other. `F <br /> [EH <br /> eceived By/Title: <br /> Specialist: Phone: U z <br /> me In: Time Out: 0 r Page of <br /> EH}16-24 (211 pg) 41113 FOOD PROGRAM OIR CONTINUATION <br />