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,otSAN JOAQUIN COUN <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> - _ 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> �iFORa <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: O -_3 <br /> 7� c) Date: Q, I ZQ <br /> Address: � City: Zip Code: <br /> Owner/Operator: / Telephone: <br /> Program Element: O Program Record: 0 q Inspection Type: <br /> SB180 Posted ❑Yes ❑ Rermit Posted ❑Yes 07 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> O <br /> AA <br /> cc l �" t�1 <br /> c (1 6 <br /> lip " <br /> o - - - - <br /> Item/t_ocation Temperature Item f Location Temperature <br /> Facility Hot Water' Warewashing <br /> ame: M f Hand Sink: Z4- C)"F Chlorine: T - ppm(Heat: F <br /> Exp.Date: 1 r_ arewashing Sink: / CfF Quat.Amm.: ppm iOther: 'F <br /> Received By I Title: <br /> 00 Y? CW <br /> EH Specialist. f Phone: <br /> Time in: dI V Time Out: `T O� Page of <br /> EHD 16-24 (20 pg) 413113 r FOOD PROGRAM OR CONTINUATION <br />