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SAN JOAQUIN COUNTY <br /> 2� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton. CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web: www.sigcv.crc/ehd <br /> (IFORt'� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -7- 77777774 <br /> �� Date: <br /> Address: 4 City: Zip Code: <br /> Owner/Operator: J(�tll_l Telephone: <br /> Program Element: Program Rec q� ^t Inspection Type: L <br /> FB180 Posted ❑Yes ❑ Permit Posted ❑Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> " �-t f <br /> "(i,X r <br /> Item/Location `temperature ./Location <br /> 0Ann /A���� __ <br /> ` ��� J64M,AJAC <br /> V'`y <br /> !� G <br /> ,r fieat�on FacilityHotVtr� � Warewashing ` <br /> _ .. __._ <br /> Name: Hand Sink: F of Chlorine: ppm HH at: of <br /> Exp.Date. arewashing Sink:` ^ of Quat.Amm. ppm Other: of <br /> Received By/Titl ({ <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 (2o°pg) 4/3/13 FOOD PROGRAM OR CONTINUATION <br />