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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.orglehd <br /> c,�ou <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Elate: <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element- Z �a� Program Record: �o3Z23 I b 2 3-4- <br /> kInspection Type: <br /> SB180 Posted ❑Yes ❑ Normit Posted ❑YeAS ❑ I Re-Inspection on or After: <br /> OBSERVA'T'IONS AND CORRECTIVE ACTIONS' <br /> -,CA <br /> k <br /> 1 d 1''-2. \L's zQ <br /> cv, -A � Z kkoS <br /> F <br /> cl t1 �[ l <br /> 11 C <br /> t ItemAj=ation Temperature Item 1 Lo"Van Temperature <br /> Tl — � iC11 Q-`�a Lspa <br /> Fcod Safely CeMfie Facili Not Water Temperature Warewast Eis� <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: -F <br /> Exp.Date: nL`� arewashing Sink: of Quat.Amm.: ppm ther: of <br /> Received'By I Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: C3 Pag of <br /> EHD 16-24 (2^d pg) 4013 FOOD PROGRAM OR CONTkNUATION <br />