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o�Q�I" SAN JOAQUIN COUNT . <br /> �.• oG <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.s'ciov.or./q ehd <br /> {lFOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: P Date: <br /> Address. City: r Zip Code: _ 2 _C <br /> Owner/Operator: .� / Telephone: <br /> Program Element: Program Record: Z7 S�S S Inspection Type: !/'f <br /> SB180 Posted Yes -N6 Permit Posted Yes No Re-Inspection on or After: <br /> NS AND CORREC IVE ACTIO S_ . <br /> fl <br /> 0 <br /> r \ Vvv"J"- l VG✓ r <br /> a <br /> �v i �- <br /> �`- <br /> C <br /> Item/Location Temperature Item I Locatio . <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: °F Chlorine: pp-1 <br /> pm Heat: of <br /> Exp.Date: arewashing Sink: aF Qua .Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Specialist: 41- Phone: <br /> Time in: p Time Out: /vb Page <br /> EHD 16-24 (2' pg) 4013 FOOD PROGRAM OIR CONTINUATION <br />