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•• ooa"'"• SAN JOAQUIN COUNTY <br /> a �FOG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> aGl d N;a Telephone:(209)468-3420 Fax.(209)464-0138 Web:www.sigov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: 3 -s - , _ Date: Z. <br /> Address: IAAWh City: G Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: 1 01207_3 <br /> SERVATIONS AND CORRECTILE ACTIONS L <br /> 3j A <br /> G f <br /> 99 f4�0 <br /> r <br /> �. 2)421 <br /> n Gt f C1�PS• `r <br /> 1114 <br /> Item/Location " _Te mperafuie -" - Item/L6 on - Yemperature <br /> Food Safety CerMication Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: �F Chlorine: ppm Heat: eF <br /> Exp.Date: arewashing Sink: "F Quat. Amm.: ppm Other: "F <br /> Received By/Title: <br /> EH Specialist: A "T-i Phones <br /> Time in: 10- '10 Time Out: 11" 30 <br /> ?J Page of 3 <br /> EHD 16-24 (2� pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />