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p......°"�". <br /> SAN JOAQUIN COUN <br /> ° . .C <br /> y+ ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: x <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.smgov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �.c -�� lam_ Date: l <br /> ddress: Gl �y • y: Zip Code: <br /> Owner/Operator: 0 „/ Telephone: 3—33)/ <br /> Program Element: Pr ram Record: �.� p Inspection Type: /U <br /> IS8180 Posted Yes ❑ Rermit Posted Yes ❑ 1 Re-Inspection on or After: <br /> WINm�q . <br /> At'41A 04 1 IM AA <br /> L�-� r ✓l. ���L>�t t v <br /> �" <br /> r /tem 1 Location Temperaturi3 <br />�� I►c �� /OAF' <br /> Facility Hot Water Temperature Warewashin <br /> � g, . <br /> Name. ,M v Hand Sink: !,7 a of Chlorine: ppm Heat. v of <br /> 1/ V 1d .... ............... <br /> Exp. Date: 01 arewashing Sink: fw of Quat.Amm.: ppm Other. of <br /> Received By!Title: <br /> EH Specialist: Phone: <br /> Time in. / Time Out: Page2f <br /> END 16-24 (211 pg) 4/3113 FOOD PROGRAM OR CONTINUATION <br />