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SAN JOAQUIN COUNTY <br /> X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.s•I_gov.org/ehd <br /> 4 Zllt'U�� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: / +f Date: <br /> Address: City: 1 Zip Code: <br /> Owner/Operator: L Telephone: <br /> Program Element: Program Record: I Inspection Type:- J <br /> LLLOPosted Y s No Permit Posted Yes No ` Re-Inspection on or After: <br /> VATIONS AND CORRECTIVE ACTIONS <br /> k 0 A-- Utl) PPM <br /> ft" . .F=�I=-- .14= U <br /> K(q) k I jim a� - i o vn <br /> - <br /> ow unici- <br /> 1 <br /> molt, <br /> 1te kocation Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Werewashing. <br /> Name: Hand Sink: F Chlorine: ppm 'Heat: `F <br /> Exp.Date: arewashing Sink: `F uat.Amm.: ppm Other: 'F <br /> JEH <br /> ecelved By I <br /> Ti <br /> Specialist: Phone: <br /> r i <br /> me In; Time Out: Pag o <br /> EHO 16.24 (2^ pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />