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0 1 - 13 <br /> SAN JOAQUIN COUNTY 0_7 <br /> y� ENVIRONMENTAL HEALTH DEPARTMENT <br /> :'. 1868 East Hazelton Avenue, Stockton, CA 95205-6232 • <br /> Cqc a;P Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> ��FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: SC Z Date: 2 — <br /> Address: SA <br /> 3 2 S Sc <br /> 1\ �J � City. r C Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: i 1 Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> SK-� 3 <br /> �4 V;i . <br /> Z <br /> 4-1:D r <br /> Item/Location ,- Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature. Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: '4 f_ (O_ 03 7 <br /> J <br /> ime in: + Time Out: 11k �7 Page of <br /> 1 <br /> EHD 16-24 (2otl pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br /> � 1 <br />