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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 600 East Main Street, Stockton, CA 95202-3029 <br /> • �;.., �;P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> ��FOR <br /> FOOD ROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: city. L Zip Code: 7 <br /> Owner/Operator: O7� Telephone: <br /> Program Element: 163 Program Record: // C� Inspection Type: <br /> SB180 Posted VYes No Permit Posted ^es Noll Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> R <br /> r <br /> c7� �i- OGS <br /> 04 on <br /> Item/Location TemperAfure Item/Location Temperature lieJ Location Temperature <br /> 04 <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> �._ _ _..... .... - <br /> Name: /utw i/ Hand Sink: � o f Chlorine: ppm Heat: F0-0 Y <br /> Exp.Date: Warewashing Sink: 'Y--,P- of Quat.Amm.: Ie <br /> �V ppm Other: "F <br /> Received By/Title: <br /> EH Specialist: Phone: V 06 <br /> Time in: , Time Out: loe <br /> Page of <br /> EHD 16-24 (2ntl pg) 11/2/09 � C Jd FOOD PROGRAM OIR CONTINUATION <br />