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SAN JOAQUIN COUNTY <br /> z <br /> :< ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: a <br /> e: . <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> cq ••. a o . Telephone:(209)468-3420 Fax:(209) 464-0138 Web:www.sl-gov.org/ehd <br /> �tFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility. Date: <br /> Address: y City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: yli Inspection Type: <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> ry OBSERVATIONS AND CORRECTIVE ACTIONS .. <br /> i G�'l,�' .� Vii.: �,c �► Gr (% G. � . -�tom- �.- � � „1 <br /> Item/Location Temperature Item 1 Location Temperature <br /> - I <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand 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: (� <br /> Time in: ^ Time Out: Page of <br /> EHD 16-24 (2^^pg) 4/3/13 FOOD PROGRAM OIR CONTINUATION <br />