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SAN JOAOUIIN COUNTY <br /> y:. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . ... P. Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.s'-qov.org/ohd <br /> �c�FdRF+ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: _ 2- <br /> Address: City: Zip Code: <br /> caner/Operator: Telephone: <br /> Program Element: 16157— Program Record: O / / Inspection Type: f" <br /> SB180 Posted Yes No Permit Posted Yes No Ea Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> r <br /> U <br /> O ` k Ldd <br /> ` J <br /> Item/L Loc <br /> ocation Temperature Item 1 ation emperafure <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: F Chlorine: ppm Heat: `F <br /> Exp.Date: Warewashing Sink: F uat.Amm.: ppm ther: F <br /> Received By/Title: <br /> EH Specialist: r r Zt Phone: <br /> Page of <br /> Time in: Time Out: ', S �,� I <br /> EHD 15-24 (211 pg) 413113 FOOD PROGRAM 0IR CONTINUATION <br />