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SAN JOAQUIN COUNTY-0' <br /> ?� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> a�..,s ....;a Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.orq/ehd <br /> r-�FOR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: '262 <br /> ddress: -t. City: Zip Code: �r k"- <br /> Owner/Operator: J Telephone: i'7�/ <br /> Program Element: Program Rec*6( Inspection Typ <br /> Set 80 Posted Yes No Permit Posted Yes No / Re-Inspection on or After: <br /> OA 44 <br /> OL- <br /> O✓tA4� <br /> GJ1it <br /> _ Z O�— <br /> Cccetiorl Temperature Rem/Loaatio",: <br /> 3 <br /> Food Safety Certification I Facility Hot Water Temperature <br /> Name: _ Hand Sink: F !Chlorine PPM r <br /> eat: of <br /> Exp.Date: J arewashing Sink: Ouat.Amm.: PPm Other: "F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> me in: Cz O Time Out: Page of <br /> EHD 16-24 (2^Pg) 1112JN FOOD PROGRAM OIR CONTINUATION <br />