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ae�`�!n•. SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4clPdk+a Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.siaov.ortt/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: x 4P \99 Date: — — <br /> ddress:—\—I <br /> \ .V^�^` City: � zip code: <br /> Owner/Operator: Telephone: <br /> Program Element: \i,,0SSj\i,,03Pr gram Record: 5 y \\ _ Inspection Type: ` <br /> B180 Posted Yes No Permit Posted Yes No �O Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> q <br /> L493 `—� <br /> r <br /> ` fes <br /> t%� <br /> ec- i-\ o.' <br /> .Location Temperature. ^ilf Item/Loca .Temperature <br /> 130 - <br /> s.. <br /> _ Facility Hot Water Temperature '" Warewashing <br /> Hand Sink: \2C F Chlorine: ppm Heat: �p <br /> Name J _ <br /> Exp.Date: �_ S Z arewashing Sink: ;•Z S �F Ouat Amm.: ppm Other: OF <br /> Received By/TItIe:A /17_ M <br /> EH Specialist• T�` P 2 — 1 IS%_32 <br /> [me In: • 2\ Time Out: <br /> EHD 1624 (2,01 pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />