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SAN JOAQUIN COUNTY <br /> 2 ' ENVIRONMENTAL HEALTH DEPARTMENT <br /> N' <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • cq., �`. ;P Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sigov.org/ehd <br /> �IFORN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: Zi 7023 <br /> Address: O C� N City: Zip Code: <br /> Owner/Operator: Telephone: q sD351�/ <br /> Program Element: I urlProgram Record: Q OS t 5-44 Inspection Type Map&VAi'f <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> U <br /> U17A CJJzW WWW-W q vg4 4d <br /> .(i1�DYl irie �(. vyl oG G{ <br /> V,ri►M r>e <br /> {�v+ qgcr <br /> r <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: -F Chlorine: ppm Heat: -F <br /> Exp.Date: arewashing Sink: -F Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: fto eq <br /> ime in: 1 Q Time Out: Pag of <br /> EHD 16-24 (2-pg) 4/3/13 FOOD PROGRAM DIP CONTINUATION <br />