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01�11441"- SAN JOAQUIN COU,.-fY <br /> H ENVIRONMENTAL HEALTH DEPARTMENT <br /> _ 1868 East Hazelton Avenue. Stockton, CA 95205-6232 <br /> C4i oRN�P Telephone: (209) 468-3420 Fax: t209) 464-0138 Web:www.5lqov.orCJ/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: I�� G �Ul3 l /)/f r 1_-- -f.t.{r r{� - Date: <br /> Address: rcity: � Zip Code: G <br /> Owner/Operator: Telephone: <br /> Program Element. Program Record: Inspection Type. <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> e <br /> 10 D_-_I <br /> -IncN r <br /> _60U S CQ d _r o 12 <br /> I� <br /> Item/Location Temperature Item!Location Temperature <br /> Food Safety Certification -�—�- Facility Hot Water Temperature �- Warewashing { <br /> Name: Hand Sink: F 1puat. <br /> Chlorine: ppm (Heat: F <br /> Exp.Date: arewashing Sink: F Amm.: ppm iOther: F <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out:����'7 Page of <br /> p � .. <br /> EHD 16-24 (21 pg) 413113 FOOD PROGRAM OR CONTINUATION <br />