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SAN JOAQUIN COUNAI <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sioov.org/ehd <br />Fnnn PRnGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Address: <br />City: <br />Zip Code: <br />caner/Opera or: <br />/ <br />Telephone: <br />ISP dpi' <br />Program Element: Program Record: O 1 <br />1 <br />Inspection Type:- , <br />8180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: cl o -L <br />G <br />0 <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />hr. Klid-501q <br />r CUt ✓ e� m �f <br />.(� atv-a'� <br />rLfN�A <br />�n n M ra_I a <br />R <br />Itemfl-ocation <br />Temperature <br />Item / Location <br />.Temperature <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />Name: <br />_ <br />Hand Sink: <br />.F,�hne, PPM Heat: .F <br />Exp. Date: <br />arewashing Sink: <br />.FAmm.: PPM they: =F <br />Received By/ Title: ,b <br />EH Specialist: <br />Phone: . <br />Time in: /,i <br />Time Out: Page of <br />EHD 1624 (2i°pg) 4013 rwu rnwnnm urn can i mun uun <br />