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or.4NiN. SAN JOAQUIN COUNTY <br />• �d'FA <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.oro/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: <br />Date: (_ <br />ddress:'`/ City: Zip Code: <br />Owner/Operator: <br />Telephone. _ <br />-cl <br />Program Element:rogramRecord: I Inspection Type: <br />8180 Posted No Permit Posted es No Re -inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />L, <br />Ppajio <br />Q <br />2 <br />• emperature <br />Food Safety Certificatio Facility Hot Water Temperature Warewashing_ <br />Name: Hand Sink: aF Chlorine: PPM Heat: of <br />ther: eF <br />Exp. Date: arewashing Sink: eF uat. Amm.: PPM r <br />ived By /Title: Specialist: <br />E <br />Phone: <br />In: ` Time Out: <br />Pagasof C^ <br />EHD 16-24 (2* pg) 4/3/13 FWD PROGRAM OIR CONTINUATION <br />l�7 <br />