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�0,.'�4�.coG SAN JOAQUIN COUNT Y <br /> ` + ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 0q•.,, N:p Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sictov.orq/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: S Date: -1 <br /> Address: 1` City: Zip Code: <br /> Owner/Operator: — C"�- Telephone: `v <br /> Program Element: Program Record: !h Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br />  — OBSERVATIONS AND CORRECTIVE ACTIONS <br /> L* I, <br /> Inc) <br /> L <br /> ( G <br /> ���• L�1„ <br /> U <br /> LP MWA1 <br /> DUCAe— <br /> LP <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing, <br /> Name: Hand Sink: of Chlorine: ppm Heat: OF <br /> Exp.Date: arewashing Sink: OF Quat.Amm.: ppm Other: of <br /> Received By/Title <br /> EH Specialist: Phone: l <br /> Time in: Time Out: PageLof <br /> EHD 16-24 (2n°pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />