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QeaulN.. SAN JOAQUIN COUNTY <br /> �Q FAQ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> m , <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.orci/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: �y�p <br /> ddress: City: Zip Code: <br /> d C✓ <br /> nor/Operator: � To— <br /> r <br /> e / <br /> rogram Element: 9 Program Record: Inspection Type: <br /> B180 Posted 44fes ❑ NoO� Permit Posted - as No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> y <br /> d-orrr,` <br /> a - <br /> o-t— <br /> Item/Location - Temperature Mem/Location Temperature <br /> or Lo' ge <br /> nit - Yt 'r <br /> Food Safebr - FaalNy Hot water Temperature - warewashing / .LsrwQ <br /> Name: Hand Sink: �� *� of Chlorine: /G.� ppm Heat; of <br /> Exp.Date: O arewashing Sink: eF Quat.Amm.: ppm Other: =F <br /> ESpeciallst: <br /> Phone: �- O'vh Time Out: O Page of <br /> EHD 1623 (2-Pg) 07/29/09 FOOD PROGRAM OR CONTINUATION <br />