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SAN JOAQUIN COUN'. <br /> y ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: .a <br /> 1868 East Hazefton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.o(q/ehd <br /> A�IFOka - - <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: -ZL- Date: D -')6 _ <br /> Address: City: Zip Code- <br /> Owner/Opera or: Telephone: <br /> Program Element: //d -- Program Record: ? 415 Q 2.2 -7(' inspection Type: •r,_. <br /> B180 Posted Yes< No Permit Posted Yes No ✓ ! Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> G <br /> ftem&ocetion Temperature item 1 Location Temperature <br /> Food Sa#ak,y Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine: pPm Heal °F <br /> Exp.Date: arewashing Sink: aF uat.Amm.- PPm ther: F <br /> Received By/Title: <br /> EH Specialist: C Phone: <br /> Time in: Time Out: ' L Page. of <br /> to r 2--_ <br /> EHG 16-24 (2ntl PG) 41Y13 FOOD PROGRAM O(R CONTINUATION <br />