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O.P4u IN••.0 <br /> SAN JOAQUIN COUNTY T� 'O�O��oors <br /> ` ENVIRONMENTAL HEALTH DEPARTMENT co,� <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> �/PORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ?/ TDate: <br /> Address: —7t�/ / City: Zip Code: 3 <br /> Owner/Operator: Telephone: <br /> C!J l <br /> Program Element: Program Record: !/ Inspection Type: <br /> iSB180 Posted Yes No Permit Posted Yes No Y Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS;�� <br /> O /5 <br /> J <br /> OY/ <br /> Item/Location Temperature Ife(n!Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: rHand Sink: 'F Chlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sin! ( of Quat.Amm.: O0 ppm Other: of <br /> Received By/ itle: ` ✓� <br /> EH Speci t: Phone <br /> Time in: Time Out: Pag�of <br /> EHD 16-24 (211 pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />