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ono+ N• SAN JOAQUIN COUNTY <br /> 0' <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone:(209) 468-3420 Fax:(209)464-0138 Web:www.sjgov.oro/ehd <br /> 4ClFdt+`' <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: L Date: J Z 17 <br /> Address: City: 1 Zip Code: <br /> Owner/Opera : Telephone: <br /> Program Element: Program Record: Inspection Type: r'O_/n <br /> SB180 Posted Yes No Permit Posted Yes No Re-Inspection on or After: LL <br /> _ . fijACTIONS: <br /> 1`e—t til "L ?29 Z- <br /> n Y►�� <br /> C /til <br /> IteiriiLocatio Temperature <br /> Food§afety Ce ca_t_io_n Facility Hot Water Temperature ( Warewashing <br /> Name: 1 �. i 1 Hand Sink: of Chlorine: ppm Heat: =F <br /> Exp.Date: V 'rlo ewashing Sink: of Ouat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Speclalist: ` '�/� Phone: <br /> me in: Time Out: Page of <br /> EHD 16-24 (2n°pg) VNI3 FOOD PROGRAM OIR CONTINUATION <br />