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SAN JOAQUIN COU, <br /> .Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . •.• - :P• Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> 4�;FORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 4 z? -L Date: _�J!_/ <br /> Address: q65\5 <br /> 5 ! r •n -p— City: -/b Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: / a Program Record: D0 a /_ /- G Inspection Type: <br /> SB180 Posted IT Yes ❑ Permit Posted ,C ❑Yes ❑1 lO W Re-Inspection on or After: , �•C <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> rreCk <br /> o 4e r Z-s u.-7 d_e r r eL-,e rS <br /> All <br /> -- <br /> n <br /> r &r-S 0.-7 d r- <br /> c7 ►' af`�'e <br /> 4� <br /> emperature i) Item 1 Location Ietnperatur <br /> re <br /> eor Prep 77� 1_ `Y1 C. <br /> d a Wrti kation `` Facility Hot Water Temperature Warewashing <br /> Name: [Hind Sink: .........,. of Chlorine: -- ppm Heat: _ F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: C/S3 _ 471?/ <br /> Time in: Time Out: Page of <br /> © � <br /> 10-'60 <br /> EHD 16-24 (20°pg) 4/3113 FOOD PROGRAM OIR CONTINUATION <br />