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o¢apl" SAN JOAQUIN COON., <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www,s'gov.org/ehd <br /> ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: e Date: Z - 4-2 <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: r�Q C Inspection Type: <br /> SB180 Posted ❑Yes ❑ Permit Posted F Yes ❑1 Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 21 c sCn <br /> 23 1 <br /> Item/Location Temperature - " "- - <br /> Food Safety Certification - - Facility F of a mpera <br /> - - - - - <br /> Name: Hand Sink: 8F Chlorine: ppm Heat: `F <br /> Exp.Date: arewashing Sink: of Quat.Amm.: ppm ther: "F <br /> E <br /> ed By 1 Title: ^ <br /> cialist: Phone: j: �Y1 Time Out: �+ Pages pf <br /> END 1&24 (211 pg) 413113 FOOD PROGRAM O)R CONTINUATION <br />