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°ck SAN JOAQUIN COUt- <br />� •.OG <br />z-' ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sigov.org/ehd <br />�iFORa <br />n ,. FOOD PROGRAM OFFICIAL INSPECTION REPORT/ <br />Name of Facility: <br />Date: ( - <br />Address: ' City: <br />Zip Code: <br />Owner/Operator:Telephone: <br />Ala <br />g3 `v <br />Program Element: Z Program Record: t7 /_ <br />Ins ection Type: <br />SB180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />EHD 16-24 (211 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />1111 11�1111 <br />0W1, <br />VIAi <br />j <br />, <br />t ` / t/�4L7' <br />� � L. / <br />/� u l� .� /mo�i <br />�� � � �L�a <br />,� <br />_�.• <br />115A In <br />i <br />MIA,, �11MFIWFIWMI "M <br />-1 <br />Item/Location <br />Temperature <br />Item Location <br />Temperature <br />�t <br />x�: <br />i MM' <br />•.• Safety Certification��V� <br />' 1 <br />ppm <br />Heat: <br />oF <br />•. <br />M <br />• <br />ppm <br />Other: <br />Received By/ Ti Clen,�_ <br />EH Specialist: <br />Phone: <br />Time in: <br />Time Out: <br />•.. of <br />EHD 16-24 (211 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />