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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.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 1 _ Date: <br /> Address; City: zip Code: <br /> OwnerlOperator: Telephone: <br /> Program EI e kent�2 l b a Program Record: S; b �3 Inspection Type: <br /> B480 Posted In ❑Yes ❑ Rermit Posted C Yes ❑I Re-inspection on or After: <br /> OBSERVATIONS ARD CORRECTIVE ACTIONS <br /> `7 <br /> ly � Irl C <br /> .�� Q) r <br /> RemfLociation Temperature Item!Location Temperature <br /> Food Safely Certification N Facility HotWater Temperature warewashing <br /> N <br /> an in of Chlorine: Ppm Heat: of <br /> Exp.Da arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By 1 Title: <br /> EH Specialist: - Phone: <br /> ul b 1@_0.S. <br /> ime in: 7 Time Out: 1 Page ofko . <br /> FHD 16-24{21d pg} 413113 FOOD PROGRAM OIR CONTINUATION <br />