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SAN JOAQUIN COUNTY <br /> y+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 0: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • .. ;P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.org/ehd <br /> qCl F O iR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ' Date: <br /> Address: �t �' City: Zip Code: <br /> Owner/Ope ator: (!f� Telephone: <br /> Program Elemen : ProgramWe-cord: .,, Inspection Typ . <br /> S6180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 7 tr-�t �— �'�c— .— 4, 1 t , <br /> e, �- <br /> 6 <br /> / <br /> Cie, wa-e-' <br /> — <br /> Y: o <br /> r v <br /> ' 2 , AIL n, <br /> On oe <br /> 9 o ` e <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: °F Chlorine: ppm LHeat: OF <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppmher: eF <br /> Received By/Title: <br /> EH Specialist: ;n` �y� Phone: <br /> Time in: ' Time Out: Page of- <br /> EHD 16-24 (2ntl pg) 4/3/13 FOOD PROGRAM OIR CONTI ATION <br />