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a4na"'"a..roG SAN JOAQUIN COUN <br />?� ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />•c... ;p. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sioov.oro/ehd <br />'CIFOR� <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />66 <br />Date: 01-09 <br />A-ddresw <br />2,15 <br />City:61 <br />Zip Code: 06-632— <br />Owner/Operator: <br />caner/Operator: <br />Telephone: 249-1C <br />Program Element: <br />Program Record: 5 <br />Inspection Type: r <br />B180 Posted Yes <br />o <br />No Permit Posted Yes (!o) <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />— <br />r — <br />i <br />Item/Location' r. Temperature',.item,/Location <br />'Temperature <br />- <br />Food Safety Certification Facility; Hot Water Temperature <br />- `-Warewashing , . <br />Name: <br />Hand Sink: <br />eF <br />Chlorine: Ppm <br />o <br />Heat: F <br />Exp. Date: <br />arewashing Sink: <br />�F <br />Ouat. Amm.: PPM <br />Other: of <br />Received By IT! <br />24 <br />EH Specialist: <br />Phone: r' f <br />h <br />Time in: <br />Time Out: Page of <br />EHD 16-24 (2ntl pg) 4/3!13 FOOD PROGRAM OIR CONTINUATION <br />