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• �o•.�� ..goo SAN JOAQUIN COUNTY <br /> `i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> dLf�o�i�';P 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 /> Owner/Operator: Telephone., <br /> Program Element: Program Record: Inspection Type: <br /> SB160 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS ; ,'•' J,?' + <br /> L'yc. erdi re Y ]tem!Lbcatta R' T?nper 0-0+ 1tmltocaIon 1 fir. p �' t�:_ � <br /> _ _ _ Food Safety Certification Facility Hot Water Temperature�: „Ware�as <br /> Name: Hand Sink: ofChlorine: ppm Heat: of <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm Other: OF <br /> Received By!Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> END 15-24 (21 ) 413113 FOOD PROGRAM GIR CONTINUATION <br />