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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> a: •a <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.sigov.org/ehd <br /> Nikon <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: ` _ o �� Date: 2 <br /> Address: -5 -r-- City: Zip Code: <br /> Owner/operator: Q r 61 <br /> ! = f' / p_ Telephone: <br /> /� <br /> Program Element: 5 Program Record: .- 5-0 Inspection Type: <br /> SBt80 Posted Yes No Permit Posted Yes/ No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Puy lI,o <br /> A, <br /> VVI <br /> � r <br /> ternli.ocatlon mA <br /> Y9 yr CL n^ C % <br /> p a Or <br /> NNE ViL <br /> Facility Hot Water Tempei'eturb Warewashing <br /> Name: Hand Sink: of hlorine: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: •F Quat. Amm.: Ppm other: °F <br /> Received By 1 Title: <br /> EH Specialist: Phone: <br /> Ime i—m `D Time Out: Page of <br /> FOOD PROGRAM DIR CONTINUATION <br /> EHD 16.24 (2'pg) 4/3113 <br />