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SAN JOAQUIN COUNTY <br /> p z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazeiton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.siaov.org/ehd <br /> Z1FC5.4t , <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Temperature Item I Location Temperature <br /> lity Hot Water Temperature l Warewashing <br /> ame: Hand Sink: F Chlorine: ppm Heat: <br /> Exp.Date: 7 arewashing Sink: F Quat. Amm.: ppm oP <br /> ((r Other: eF <br /> Received By 1 Title: <br /> EH Specialist: Phone: - <br /> Time In: — - Time Out: -- Page of <br /> EHD 1&24 (211 pg) 4313 FOOD PROGRAM OIR CONTINUATION <br />