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-Lc': " SAN JOAQUIN COUNTY <br /> a � ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . ..• w ;ro . Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I � Date: ' z <br /> Address: <br /> City: Zip Code: -2 <br /> Owner/Operato : Telephone: <br /> Program Element: 6 Program Record: I Inspection Type: T5 <br /> -1-8 Pasted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS I <br /> C.Q <br /> r p_ <br /> c ho r <br /> � r <br /> o� v <br /> J Al vi s — <br /> � <br /> CiAIAea <br /> vLP ` yl rytQ o' �C[ f 4 if`- <br /> ItemlLocation Temperature Item/Location Tempera e <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: "-F hiorine. ppm iHeat: °F <br /> Exp.Date; arewashing Sink: °F uat.Amm.: ppm ther: of <br /> Received By!Title: �1 <br /> EH Specialist: - ^ Phone: <br /> ime in: t Time Out; G I .� Page of <br /> EHD 16.24 (2itl pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />