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SAN JOAQUIN COUNTY <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .. - a`P. Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> A��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: te: 2 <br /> Address:' - City: Zi Code: <br /> Owner/Op rator: u Telephone: <br /> Program Element: Program Record: / ��S c� Inspection Type: <br /> �YJ <br /> SB180 Posted Yes o Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> �wv � <br /> o` I/ <br /> s <br /> 'o <br /> , � 2 <br /> UL <br /> rn s <br /> < <br /> Item/Lo. f Temperature Item!Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: °F Chlorine: ppm Heat: 'F <br /> !Exp.Date: arewashing Sink: `F Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Speciali • Phone: <br /> ime in: Y n Time Out: Page of <br /> EHD 16-24 (211 P9) 4/3113`J FOOD PR GRAM OR CONTIWAT <br />