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o�Qul" .r SAN JOAQUIN COUNTY <br /> Q� .a <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax:(209)464-0138 Web:www.slgov.org/ehd <br /> {r�ofi <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 /> S61$0 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS. <br /> tN <br /> _ i <br /> Item!!_ocatibn Temperature perature <br /> -' - ' <br /> Food Safety Certification Facility Hot.Water,Tem e, ur arewashing <br /> Name: Hand Sink: OF hlonne: ppm Heat: OF <br /> Exp.Date: Warewashing Sink: OF uat.Amm.: ppm Other: OF <br /> Received By I Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EHD 16-24 i2^I pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />