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o�a�ln. e `I� SAN JOAQUIN COUNT* <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> �..._ ; Telephone:(209)468-3420 Fax: (209)464-0138 Web:www siaov oralehd <br /> 9G%FOM1�, <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> EAddr�s: <br /> O� Cp Date' (`7—City: LDU ZipCode: 15-24-2 - <br /> f: Telephone: <br /> Inspection Type:t: Program ecord:Yes ❑ No Permit Posted u.Yes ❑No Re-Inspection on or After: <br /> OBSERVATIONS AND CORRECTIVE ACTIONS 1 <br /> s <br /> t <br /> S • vl 1t+ <br /> mjrit <br /> 6 oe <br /> f0 <br /> �-6WA Oct <br /> Cali la.n s r 460I -2K6 Or <br /> Luz- 3Ht{c <br /> ra Vi -fogj <br /> lawakh—lLocation Temperature Item/Location Temperature Item I Location Temperature <br /> Food Safety Certification Facility,Hot Water Temperature Warewashing <br /> Name: t� Mek�rs 'Hand Sink: I =F Lhrine: ppm Heat: op <br /> h1 <br /> Exp.Dat arewashing Sink: of ls <br /> .Amm.: ppm Other: °F <br /> Received By/Title <br /> EH Specialist: Phone: `4Grj - 3L/Y(7- <br /> ime in: 12 , <br /> Time Out: ( • CiO PageZof 2 <br /> EH 1624(2-pg) 419112 FOOD PROGRAM OIR CONTINUATION <br />