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SAN JOAQUIN COUNTY <br /> 2� ENVIRONMENTAL HEALTH DEPARTMENT <br /> a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . .. P. Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.sagov.orc�/ehd <br /> RclFd�`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> wnerlOperator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> IS 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Item/Location Temperature Item 1 Location Tempest <br /> _ .Food Safety Certification Facility Hot Water Temperature Warewashin <br /> Name: Hand Sink: F Chlorine: ppm Heat: OF <br /> Exp.Date: warewashing Sink: 'F Quat.Amm.: ppm ther: OF <br /> Received By 1 Title: <br /> EH Specialist: Phone, i <br /> t <br /> Time In: Time Out: Page of <br /> i <br /> EHD 16-24 (2n°pg) 413N3 FOOD PROGRAM OIR CONTINUATION <br />