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oPa�l"•. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �4tI� saga Telephone:(209)468-3420 Fax: (209)464-0138 Web:vaww.sigov.orglehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: ai0 <br /> Owner/Operator: T _ ho 9 p r c5 3 <br /> Program Element: Program Record: Inspe ion T W <br /> 6180 Posted 0 Yes 0 No Permit Posted 0 Yes 0 No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 'Item/Location Temperature fern/Location' Temperature hem/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: <F hlorine: Ppm eat: eF <br /> Exp.Date: arewashing Sink: eF uat.Amm.: ppm her: eF <br /> Received By I Title: A,-,— OA <br /> EH Specialist: 22 Phone: Q qG O-O.3 <br /> 34 <br /> Time in: , �o Time Out: / 3 O Pagelof <br /> EHD 1&23(2'"pg) 11/06108 / FOOD OR CONTINUATION <br />