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SAN JOAQUIN COUNTt <br /> �o�•.co <br /> N•, ?i ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209)468-3420 Fax: (209)464-0138 Web:www.siaov.orglehd <br /> e d' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r r� Date: <br /> 'CZ; '77770ddress: City: ` Zip Code: y <br /> 31 <br /> Owner/Operator: ! G Telephone: <br /> Program Element: tJ -S ProgramRecord: f 1 '! 7 ci s o D) S---7- Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS ANC-CORRECTIVE ACTIONS <br /> Z� G✓ r ��'� <br /> 1- <br /> Itemlt_ocatio'n Temperature Item 1 Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature `Warewashing <br /> Name: Hand Sink: of Chlorine: ppm Heat: OF <br /> Exp.Date: Warewashing Sink: OF uat.Amm.: ppm Other: OF <br /> I <br /> eceived By 1 Title: <br /> H Specialist: Phone: <br /> !me in: r Time Out: ! _ Page of S <br /> EHD 16-24 (Zrt pg) 46113 I FOOD PROGRAM OIR CONTINUATION <br />