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SAN JOAQUIN COUNTY <br /> .y, ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • c.., A .P Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sictov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: - — <br /> Address: City: Zip Code: <br /> Owner/Operator: Telephone: <br /> Program Element: "���1 Program Record: Inspection Type: <br /> SBt80 Posted Yes No Permit Posted Yes No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> 2-1 <br /> 22 <br /> 23 J L l <br /> c <br /> ti emperature <br /> Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: 'F Morino: ppm Heat: 'F <br /> Exp.Date: arewashing Sink: F m F <br /> at.Amm.: pp Other: <br /> I <br /> eceived By/Tltle:H Specialist: Phone: <br /> me In: Time Out, �iC] Page t <br /> C,�-1�� <br /> EHD 1E•24 (2'"pg) 4IY13 FOOD PROGRAM OIR CONTINUATION <br />