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SAN JOAQUIN COUN _ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> -_ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orq/ehd <br /> �rFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: 43/ city: Zip Code: <br /> Owner/Operator: / Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> -. Item/C'W Temperature <br /> Food Safety Certification Facility Hot Water Temperature <br /> Name: Hand Sink: °F Chlorine: Ppm Heat: .F <br /> Exp.Date: Warewashing Sink: 'F uat.Amm.: PPM Cher: 'F <br /> Received By/T' <br /> EH Speciali : .�� Phon . <br /> ime in: - ` Time'Out: Pay" <br /> EHD16-24 (2n0P9) 4013 ✓ FOOD PROGRAM OF CONTINUATION <br />