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SAN JOAQUIN COU d i'Y <br /> a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> {�FO faN <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: �� •, Date: '�> I <br /> 'k <br /> Address: City: Zip Code: ;) 4 91,p <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: f� L inspection Type: <br /> ` <br /> W t <br /> B18O Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVAT101P AND CORRECTIVE .CTIONS <br /> �,, f ;41 <br /> �2 � <br /> V <br /> - 6 L i <br /> LA— <br /> Q o �� <br /> + D h V r- <br /> 7- r - <br /> �, .� <br /> ItemlLocation Temperature Eltemperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: aFChlorine: ppm Heat: "F <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: Phone: go �. <br /> Time In: Time Out: Page of ` <br /> EHD 16-24 (2n°pg) 41W 3 FOOD PROGRAM OIR CONTINUATION <br />