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�oaa •.FoG SAN JOAQUIN COUNTY <br /> wi .. <br /> 'Z ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c •., m ;P. Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> 4�racsR�' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: . City: Zip Code: <br /> Owner/Opera r: Telephone: <br /> Program Element: Program Record: Inspection Type: — <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> 71 it <br /> P <br /> f <br /> I <br /> Item/LocationTemperature ItBrtt i t;oce c�ri' ' ,;r <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> — - <br /> Name: Hand Sink: of Chlorine: ppm Heat: aF <br /> Exp.Date. + arewashing Sink: of Quat.Amm.: ppm ther: 'F <br /> Received By/Title: <br /> EH Specialist: + o- Phone: D <br /> ime in: Time Out: , Page of <br /> EHD 16-24 (2nd pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />