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i <br /> �"'•"• SAN JOAQUIN COUNTY <br /> ?a�'fA4 <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> d .. Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.org/ehd <br /> 'PUAaa�: <br /> j FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: °' Date: 2 <br /> Address: ,`D City: Zip Code: O <br /> Owner/Operator: 77JJ e ho e: J,' <br /> Program Element: Program Record: Inspection ype: <br /> 8180 Posted : es ❑ No Permit Postedes El No Re-inspection on or After: <br /> OBSERVATIONS AND"CORRECTIVE ACTIONS <br /> 10077 7Z-70 <br /> Item/Location Temperature tter i l Location. Temperature - Rem/Location - Temperature <br /> Food Safety CeRt_fi_cat_ion _ Facility Hot Water Temperature Warewashing _ <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: 'F uat.Amm.: ppm ther: "F <br /> Received By/Title: CK <br /> EH Specialist: Phon <br /> ime in: - TimeOut: 3 ' Page of / <br /> EHD 16-23(2n0 pg) 07/29819 FOOD PROGRAM OR CONTINUATION <br />