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SAN JOAQUIN COUNTY <br /> q X ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> 4.. ;w Telephone;(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.orglehd <br /> �r'b�+ <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <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 /> MLh r ., _ rµ....,► 't`r` <br /> �,., F, 7 Itemltoeatian _ r;.:. Temperature Ifeml�Locaron Temperature <br /> 1 <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Chlorine; ppm Heat: `F <br /> Exp.Date: Warewashing Sink: "F Quat.Amm.: ppm Other: aF <br /> Received By!Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EH❑15.2A (211d pg) 413113 I:OD.)PRDGRAA4 OIR CDNTI,'VLIA.1Ip1� <br />