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SAN JOAQUIN COUNTY <br /> �:rENVIRONMENTAL HEALTH DEPARTMENT <br /> is off:: ... ;v <br /> f 600 E. Maid Street,Stockton, CA 95202-3029 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web: www.sjgov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date:, <br /> N' <br /> Address: I 1�r� A ' , ! / _ <br /> City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element Cade: Program Record ID: spectio Type: <br /> SB180 Posted L7 Yes ❑ No Permit Posted ❑Yes D No Reinspection Un or After: <br /> C,- Pjrte SJ +� <br /> tip Nh ✓ <br /> t a r <br /> r � <br /> 71 <br /> AdIA <br /> ti <br /> . . a. Food ety CsctfficafTo�i' , = Faeili ,Hot Wa eE^ peratu _ ._- _... . .. .a Warewasdl <br /> Name: Hand Sink: °F Chlorine: ppm Heat: °F <br /> Exp.Date: arewashing Sink: °F Ouat.Amm. ppm Other: ppm <br /> ENVIRONMENTAL HEALTH AND SERVICE CHARGE FEES ARE AUTHORIZED BY RESOLUTION OF THE SAN JOAQUIN COUNTY BOARD OF SUPERVISORS. <br /> ALL DOC ENTED CRITICAL HEALTH VIOLATIONS OR REPEAT VIOLATIONS ARE SUBJECT TO A REINSPECTION AND REINSPECTION FEE. <br /> Received By: <br /> Title* <br /> EH Specialist: ?hone: /a0 <br /> Time In: Time Out: p f/' J J (� Page: of <br /> EHD 15-23(2ND PG) FOOD PROGRAM OIR <br />