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gUrN SAN JOAQUIN COUNTY <br /> T, <br /> W Z� ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . .. a• Telephone:(209) 468-3420 Fax: (209) 464-0138 Web:www.s6gov.orglehd <br /> 4 L+F OfiR� <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: <br /> Address: City: Zip Code: <br /> caner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> It Temperature.. Item l Location emperature <br /> Food Safety Certification F Facility Hot Water Temperatur=Ppm <br /> Name: Hand Sink: Heat "F <br /> Exp.Date: arewshingSink: m Other: "F <br /> Received By/Title: <br /> EH Specialist: --- - Phone: - <br /> Time in: -- Time Out: Page-of <br /> EHD 15-24 (2v pg) 413/13 FOOD PROGRAM OIR CONTINUATION <br />