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eP4 '"•.e SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> d4.. P.. Telephone:(209)468-3420 Fax:(209)464-0138 Web:www.sogov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> � r <br /> Address: City:4,;t,_ "VjZip Code: L <br /> Owner/Operator: Telephone: <br /> Program Element: tO /� Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Reinspection on or After: 3 <br /> OBSERVATlO1S_AND CORRECTIVE ACTIONS <br /> F0 101 <br /> - o <br /> ovAi f �e ti <br /> Vk- <br /> JA <br /> rv\ Sa h� <br /> j�A <br /> . em 1 Location <br /> S G <br /> ,Food Safety.Certification= Facility Hot Water Temperature _ Warewashing <br /> ;Exp <br /> : HandSink: '�y j of Chlorine: pPmeat: <F <br /> Date: arewashing Sink: V 'F Ouat.Amm.: PPm Other: of <br /> Received By/Title: <br /> EHSpecialist: Phone: �� r ��• <br /> Time In: to,,V Time Out: I' Y wr l Page of <br /> EHD 16-2412^ Pg)41313 y FOOD PROGRAM OR CONTINUATION <br />