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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • �q., m .a�P• Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sjgov.orq/ehd <br /> L/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: K�L Date: <br /> ddress: City: Zip Code: <br /> Owner/Operator: �( ou n Telephone: <br /> Program Element: v►Program Record: CS -3> Inspection Type: �'1 n <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: SCJ <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> v <br /> oe <br /> ss c� <br /> Item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Tem rature Warewashing <br /> Name: Hand Sink: Iof Chlorine: ppm Heat: F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: -F <br /> Received By/Title: <br /> EH Specialist: Phone: o <br /> Time in: Time Out: V Pager of <br /> EHD 16-24 (2ntl pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />