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SAN JOAQUIN COUNTY <br /> 2 ENVIRONMENTAL HEALTH DEPARTMENT <br /> W: R X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.s[gov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: Z , <br /> ddress; City: Zip Code: <br /> Owner/Operator: �� Telephone: <br /> Program Element: S Program Recoft S' _z/>��o Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> PBSERVATIONS AND CORRECTIVE,AC. IONS_ :; s. <br /> I n ✓ A ot° <br /> C 1 <br /> Q <br /> ro rbVf �a� <br /> S p� <br /> V_�k <br /> SJ I <br /> r <br /> t IPV !ka K-a s .AeZ <br /> Co <br /> _ - - i -- _-. <br /> 1temlLocation Temp @rature _Item 1 1 ocatron " { =Temperature <br /> Food Safety Certification Facility Hot Water Torn perature Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: .F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: eF <br /> Received By I Title: <br /> EH Specialist; Phone- <br /> Time in: A P <br /> Time Out: P NI 7 Page of <br /> L- <br /> END 18"24 (21�pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />