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SAN JOAQUIN COUNTIrJ <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 East Main Street, Stockton, CA 95202-3029 <br /> �a...... .•; Telephone:(209) 468-3420 Fax:(209) 464-0138 Web:www.sogov.org/ehd <br /> A+FdR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: � - ce Date: <br /> Address: 2 P O d. City. L o t• Zip Code: 45 Z <br /> Owner/Operator: L.o r�.n Zer Se rn rTelephone: <br /> Program Element: �Q Program Record: C� 3 Inspection Type: <br /> SB180 Posted Yes No Permit Posted 0 Yes 0 No Re-inspection on or Atter: <br /> t3 Lc-X e l Q <br /> G o - t - r2 <br /> ow ;S avoa u o !l.a _ co <br /> � r dl's si c li Ps <br /> c o ke- <br /> r -S . <br /> -f �•� 'J 1 110 5o r u.S2� fo w v <br /> ll(J\ w a,,.�A Sq..,' � r.-a an S2�1 �...�'+ t ' rr ,•. <br /> 1 <br /> Food Safety Certification Facility Hot Water Tem <br /> Name: Hand Sink: 'F hlorine: PPM eat: •F <br /> Exp.Date: arewashing Sink: -F uat.Amm.: PPMrt <br /> her: -F <br /> Received By/T1 e <br /> EH Specialist: �' Phone• <br /> Time in: 12Time Out: / O Page`of I <br /> : 30 <br /> EHD 1624 (2-pg) 1/18/12 FO00 PROGRAM OIR CONTINUATION <br />