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f r <br /> aq,PA In;,.,FQ� SAN .JOAQUIN COUN r-d <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> . •rYlbd'A'`'�' Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 44, ` Date: T1191.467 <br /> ddress: City: Zip Code: D <br /> Owner/Operator: <br /> Program Element: •�� Prograln Record7G"5V EInspection Type: <br /> 8180 Posted7Yes 0 No Permit Posted.4 Yes 0 No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS p <br /> 6 2 <br /> "Item/Locadon Temperature Item I Location Temperature Item/Location Temperature <br /> t t7� <br /> / A h c� - <br /> Food Safety certification Facility Hot Water.Temperature Warewashing- <br /> Name: and Sink: 104 .F hlorine: Ppm eat: .F <br /> Exp.Date: arewashing Sink: •F uat.Amm: Ppm ther: 'F <br /> Received By I Title: { <br /> EH Specialist: Phone: e /1 �& <br /> Time in: /2 • !C I Time Out: lr2, 2f J/�,0 <br /> i° Pag�of <br /> EHD 16-23 (2- IIMS ! •�.J FOOD OR CONTINUATION <br />