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SAN JOAQUIN COUNTY <br /> r. z ENVIRONMENTAL HEALTH DEPARTMENT <br /> Q: 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 /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: c' r r e Date: — -- <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: Inspection Type: <br /> B180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 11 <br /> c Q toyF Co 12 5 <br /> \%A)5G;4.j ?e cz� C E�C) <br /> i - - <br /> L <br /> 1 v n _ <br /> TeM nature Item/Location Temperature <br /> F � C <br /> tS2 <br /> ( SAWty Facility Hot Water Temperature Ware>ti[ashing <br /> Name: Hand Sink: -F Chlorine: ppm eat: 'F <br /> Exp.Date: Warewashing Sink: of Quat.Amm.: ppm ther: `F <br /> Received By I Title: <br /> EH Speclali o> 2 Phone: <br /> Time In: G Time Out: Aagf.!g <br /> EHD 16.24 (21'pg( 413113 FOOD PROGRAM OIR CONTINUATION <br />