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SAN JOAQUIN COUNTf <br /> N: 'AENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> • ... P. Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigov.org/ehd <br /> ehd <br /> RcrFdRri <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: Date: 5 <br /> Address: City: Zip Code: 2 <br /> Owner/Operator: Telephone: _ <br /> Program Element: Program Record: Inspection Type: <br /> SB180 Posted Yes No Permit Posted Yes No Re-inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTION5: <br /> �. - <br /> r- <br /> ihM19,04 i <br /> .� + <br /> �tem/t Tem rature Item 1 Location Temperature <br /> [MM <br /> Food Safety Certification Facility Hot Water Temperature Warewashin$; <br /> Name: Hand Sink: v "F Chlorine: ppm Heat: aF <br /> N <br /> Exp.Date: arewashing Sink: 'F Quat.Amm.: ppm ther: 'F <br /> Eeceled By 1 Title: <br /> ecialist: Phone:n: Time Out. Pa <br /> EHD 16.24 (2�pg) 4013 FOOD PROGRAM CIR CO``NTINUAT17 <br />