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o�`�`�I�" SAN JOAQUIN COUNTY <br /> Y co <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sigov-org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> OwnerlOperator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> BS RVA IONS ANDZORREC,TIVE ACTIONS <br /> ltemfLocation A. Temperakure> Item ILocation, - r_ Tempeatuie <br /> odlSaf Certificatio R' acility HotciM1late Temperat _ Wafewashingf, <br /> Name: Hand Sink: OF Chlorine:— ppm Heat: OF <br /> Exp.Date: Warewashing Slnk: OF Quat.Amm.: ppm Other: OF <br /> Received By l Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> CHI16-24 (2dpg) 413113 FOOD PROGRAMOIRCONTINUATION <br />