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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelron Avenue, Stockton, CA 95205-6232 <br /> . �d.., z �P• Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www,swgov.org/ehd <br /> �rrd.i�a <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 /> SB190 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> Item/Location Temperature item!Location Temperature <br /> -.Food Safety Certification Facility Hot Vjr t- perature Warewashing <br /> Name: Hand Sink: "IF Chlorine; ppm Heat: F <br /> Exp.Date: Warewashing Sink: �F Quat.Amm.: ppm Other: "F <br /> Received By l Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Page of <br /> EFID 16-24 (2^ pg) 413113 FOOD PROGRAM OIR CONTINUATION <br />