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oP0.HIN, <br />L' <br />9ll F dM1N`P <br />SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax. (209) 464-0138 Web: www.siaov.oro/ehd <br />FOOD PROGRAM OFFICIAL INSPECTION REPORT <br />Name of Facility: ,7777 Ip Date: <br />Address: D <br />City: ..,-!i ZipCode: <br />Owner/Operator: <br />Telephone: <br />Program Element:Program Record: <br />G`Z <br />Inspectlon Type: <br />f <br />B180 Posted Yes No Permit Posted Yes No <br />Re -Inspection on or After: <br />OBSERVATIONS AND CORRECTIVE ACTIONS <br />A or <br />OF <br />" G <br />c� L <br />F <br />S a <br />CJ�� L,yK>1 <br />Oki <br />c ✓r C <br />YeC ?JH <br />Item/Location Temperature <br />Item / Location <br />Temperature' <br />Food Safety Certification <br />Facility Hot Water Temperature <br />Warewashing <br />Name: <br />Hand Sink: <br />`F <br />Chlorine: ppm <br />Heat: <br />'F <br />Exp. Date: <br />arewashing Sink: <br />-F <br />Ouat. Amm.: ppm <br />ther: <br />"F <br />Received By / Title: <br />EH Specialist: .n�; <br />�b <br />Phone: <br />Ime In: - IS <br />Time Out: - M <br />Pege oY <br />END 16-24 (2^r pg) 4/113 <br />FOOD PROGRAM CIA CONTINUATION <br />