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oPQ .�o` SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • r... ;P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> 9CIFON? <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: JDate: 2- <br /> Address: `�� ^ ' \ City: Zip Code: a S 3 <br /> Owner/Operator: \ C \ 1 Telephone: <br /> Program Element: 11 _ Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> \ C1AtILI <br /> \ e/Z_ C e L. <br /> � r <br /> 2 C <br /> Temperature Item/Location`. Temperature <br /> Food Safety Certification Facility.Hot W emperature _ Warewashing <br /> JH, <br /> __ Heat:e: nd Sink: ,,c-�,� of Chlorine: Ppm `F <br /> Exp.Date: 1 nw '�1�n arewashing Sink: �•l�d eF uat.Amm.: PPM ther: F <br /> Received By/Title: A bl al l t`ti Ulla l 10 <br /> EH Specialist: CA Phone: N � ,�3 <br /> ime in: \ Time Out: Paget of <br /> EHD 16-24 (2r°pg) 413 FOOD PROGRAM OIR CONTINUATION <br />