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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> . •., m ;4. Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.slpov.orct/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: w S Date: S— S <br /> Address: City: Zip Code: <br /> Owner/Operator: 0111\ t_ Telephone: <br /> Program Element: Program Record- C Inspection Type: <br /> 8180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> remi?erature <br /> cello - Facility d2LjWdMTemperat, Warewashingm. <br /> ame: Hand Sink: 'F hlorine:' PPm Heat: "F <br /> Exp.Date: Warewashing Sink: 'F uat. Amm.: ppm ther: of <br /> Received By I Title: <br /> EH Specialis ; ) f Phone: Zocl <br /> Time In: —7 i J� Time Out `Q'. Z: Pag%'_of <br /> EHD 15-24 (2' pg) 41N13 FOOD PROGRAM OIR CONTINUATION <br />