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P°"�" SAN JOAQUIN COUN <br /> '° ..........c <br /> •.OG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> .,;.. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> <<FORt� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: S <br /> Address: G' r�„ City: Zip Code: <br /> Owner/Operator:- 4-161I" ' J Telephone: <br /> Program Element: ll�I.� ( Program Record: Inspection Type: <br /> B180 Posted ❑Yes ❑ Permit Posted ❑Yes ❑I Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> avuac 0- <br /> -M& N. <br /> q Item i LUA <br /> tion <br /> I <br /> SOME <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'FF ppm Heat: F <br /> Exp.Date: arewashing Sink: aF uat.Amm.: ppm Other: 'F <br /> L <br /> Received By/Title <br /> EH Specialist: Phone: _ fr <br /> Time in: - _ Time Out: Page?f <br /> / O <br /> EHD 16-24 (2n1 pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />