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• aurk <br /> SAN JOAQUIN COUN'� <br /> �+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> ��. ;� Telephone:(209) 4fi8-3420 Fax: (209) 464-0138 Web:www.s ov.or lend <br /> . FDRt� <br /> �1 <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> ddress: i n 1 City: Zip Code: <br /> ownerlOperator: f V Telephone: <br /> �l GL <br /> Program Element: 'gram Record: Inspection Typ <br /> 8180 Posted _ E Yes ❑ Rermit Posted es F, I Re-Inspection on or A <br /> _ ;OBSERVATIONS AND CORRECTIVE ACTIONS <br /> p n <br /> - <br /> _ -- <br /> - -� LS 4 LA <br /> OL Ck— el — <br /> �. <br /> - Qne <br /> f - <br /> �--- <br /> - - fid- e <br /> tLemlKocation Temperature Item i Location Temperature <br /> Food Safety Certitication Facility Hot Water Temperature Warewashing <br /> Name: y Hand Sink: of Chlorine: ppm at: F <br /> Exp.Date: Warewashing Sink: -F Quat.Amm.: ppm Other: eF <br /> Eeived By!Title <br /> Specialist: ��,� o Phone: — <br /> e in: �— Time Out: '. Page of <br /> H:1 1624 ;2n6 pp} 413,135 f _ G F000 P.RCGRAM ORCONTMATION <br />