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O�gUlty C `a 1"�1 <br /> ,...�...oG SAN .10AQUIN COUNTY <br /> 0: X <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c•.. J= ;4• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> 4�jFoa�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� Date: Z <br /> Address: L City: — Zip Code: <br /> Owner/Operator: C7 _ T Telephone- <br /> Program Element: G�I/l Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 6 S' <br /> r <br /> O <br /> e <br /> t <br /> � a , <br /> Item/Location Temperature Item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> -- -- - — <br /> Name: Hand Sink: of Chlorine: pp. Heat: 'F <br /> Exp.Date: I � Warewashing Sink: of Quat.Amm.: ppm Other: F <br /> 7Received By/Title: <br /> 17 <br /> ecialist: Phone: �� v� <br /> Time in: Time Out: Page of <br /> ` FOOD PROGRAM OIR CONTINUATION <br /> EHD 16-24 (211 pg) 4/3/13 <br />