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SAN JOAQUIN COUNTf <br /> a' ENVIRONMENTAL HEALTH DEPARTMENT <br /> N: X <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> CN; d a�a Telephone: (209) 468-3420 Fax:(209) 464-0138 Web:www.si4ov.org/ehd <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: CU, <br /> Date: <br /> ddress: City: Zip Code: <br /> i <br /> Owner/Operator: J /) Telephone: l� <br /> Program Element: (.Program Record: S / Inspection Type: v� <br /> SB180 Posted Yes No Permit Posted Yes No / Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS <br /> ��. <br /> w - <br /> NWQ6VAL� WWI' <br /> Item/l oca Te ature Item 1 cation emperature <br /> n Facility lint Water TemperatureJ& Warewashing <br /> Name: Hand Sink: 'F Chlorine: ppm Heat: °F <br /> arm <br /> arewashing Sink: 'F uat.Amm.: ppm Other: 'F <br /> Received By/Title: <br /> EH Specialist: Phone: <br /> Time in: Time Out: Pagel of C' <br /> eHQ 16.24 (211 pg) CWT FOOD PROGRAM OIR GONT6UATION <br />